Provider Demographics
NPI:1760466494
Name:ALEEM, TAZEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:TAZEEN
Middle Name:
Last Name:ALEEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HOLY FAMILY ROAD
Mailing Address - Street 2:#419E
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040
Mailing Address - Country:US
Mailing Address - Phone:413-536-9881
Mailing Address - Fax:413-536-6166
Practice Address - Street 1:50 HOLY FAMILY ROAD
Practice Address - Street 2:#419E
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-536-9881
Practice Address - Fax:413-536-6166
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA152498207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110001071AMedicaid
MAP00128874OtherRR MEDICARE
MAP00128874OtherRR MEDICARE