Provider Demographics
NPI:1871677997
Name:EL-MAHDY, TAMER OMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMER
Middle Name:OMAR
Last Name:EL-MAHDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:TAMER
Other - Middle Name:OMAR
Other - Last Name:RASHEED EL-MAHDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:16 HOSPITAL DR
Mailing Address - Street 2:STE D
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1041
Mailing Address - Country:US
Mailing Address - Phone:515-239-4404
Mailing Address - Fax:515-239-4721
Practice Address - Street 1:1215 DUFF AVE.
Practice Address - Street 2:MCFARLAND CLINIC, PC
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-239-4404
Practice Address - Fax:515-239-4721
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07191400208000000X, 208M00000X
IA39539208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1857182Medicaid
NJ8606901Medicaid
MD9920005Medicaid
NJ8606901Medicaid
051297ROTMedicare PIN