Provider Demographics
NPI:1982283024
Name:TAHEER, MONTATHER OUDA (DO)
Entity Type:Individual
Prefix:DR
First Name:MONTATHER
Middle Name:OUDA
Last Name:TAHEER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528A SPRING FOREST RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7237
Mailing Address - Country:US
Mailing Address - Phone:202-705-3111
Mailing Address - Fax:
Practice Address - Street 1:1120 15TH ST # BI-2183
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-1904
Practice Address - Country:US
Practice Address - Phone:706-721-0180
Practice Address - Fax:706-446-0077
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program