Provider Demographics
NPI:1700175114
Name:TAHIRA MEDICAL, PC
Entity Type:Organization
Organization Name:TAHIRA MEDICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAHIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOMAYUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-861-6663
Mailing Address - Street 1:20 E 74TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2654
Mailing Address - Country:US
Mailing Address - Phone:212-861-6663
Mailing Address - Fax:212-734-6622
Practice Address - Street 1:20 E 74TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2654
Practice Address - Country:US
Practice Address - Phone:212-861-6663
Practice Address - Fax:212-734-6622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty