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Tahir Usman Mir
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NPI Number Detailed Information
Provider Information:
Name: | Tahir Usman Mir |
Gender: | M |
Provider License Number If Given: | MD037173L |
NPI Information:
NPI: | 1427057702 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/19/2005 |
Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
Address: | 7 S 5TH ST Indiana, PA 15701 |
Phone Number: | 7244631410 |
Fax Number: | 7244631410 |
Provider Business Practice Location Address:
Address: | 7 S 5TH ST Indiana, PA 15701 |
Phone Number: | 7244631410 |
Fax Number: | 7244631410 |
Provider Taxonomy:
Primary: | 208D00000X |
Secondary (if any): | |
State: | PA |