Provider Demographics
NPI:1710991740
Name:NADEEM, MAHE TALAT (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHE
Middle Name:TALAT
Last Name:NADEEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7750 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 120-338
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7514
Mailing Address - Country:US
Mailing Address - Phone:972-378-6908
Mailing Address - Fax:
Practice Address - Street 1:2800 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7526
Practice Address - Country:US
Practice Address - Phone:972-378-6908
Practice Address - Fax:972-378-6586
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL1947207QG0300X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160877001Medicaid
TX160877001Medicaid
TXH63621Medicare UPIN