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Dr. Wahid Tazudeen, MD
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1104008606

Wahid Tazudeen is a Student in an Organized Health Care Education/Training Program based in Tampa, FL. Wahid Tazudeen practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Wahid Tazudeen is 1104008606 and holds a License No. 036131939 (Florida).

The current practice location address for Wahid Tazudeen is 2816 W Virginia Ave, Tampa, FL and can be reached out via phone at 813-876-6321 and via fax at 813-870-0350. You can also correspond with Wahid Tazudeen through the mailing address at 2816 W VIRGINIA AVE, TAMPA, FL - 33607-6330 (mailing address contact number: 813-876-6321).

Location: 2816 W Virginia Ave, Tampa, FL, 33607-6330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104008606
Provider Name
Wahid Tazudeen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2816 W Virginia Ave, Tampa, FL, 33607-6330
Phone Number
813-876-6321
Fax Number
813-870-0350
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201120900 05 IN
150640003 01 IN MEDICARE
institution
Provider Business Practice Location Address Details
Address
2816 W Virginia Ave
City
Tampa
State
Florida
Zip
33607-6330
Phone Number
813-876-6321
Fax Number
813-870-0350
person
Provider Business Mailing Address Details
Address
2816 W Virginia Ave
City
Tampa
State
Florida
Zip
33607-6330
Phone Number
813-876-6321
Fax Number
813-870-0350
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
01071600A (Indiana)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036131939 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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