Provider Demographics
NPI:1669625125
Name:TAHER, PEDRAM (MD)
Entity type:Individual
Prefix:
First Name:PEDRAM
Middle Name:
Last Name:TAHER
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:1210 ROSSMOOR PKWY
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-2501
Mailing Address - Country:US
Mailing Address - Phone:925-933-1210
Mailing Address - Fax:925-965-0175
Practice Address - Street 1:1210 ROSSMOOR PKWY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-2501
Practice Address - Country:US
Practice Address - Phone:925-933-1210
Practice Address - Fax:925-965-0175
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2015-12-20
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Provider Licenses
StateLicense IDTaxonomies
CAA105998207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine