person
Mr. Vathiar A Tazudeen, MD
Specialist in Danville, Illinois
NPI 1366451163

Vathiar A Tazudeen is a Specialist based in Danville, IL. Vathiar A Tazudeen practices in Danville, IL and has the professional credentials of MD. The NPI Number for Vathiar A Tazudeen is 1366451163 and holds a License No. 036061107 (Illinois).

The current practice location address for Vathiar A Tazudeen is 701 W Fairchild St, Danville, IL and can be reached out via phone at 217-431-8400 and via fax at 217-431-0387.

Location: 701 W Fairchild St, Danville, IL, 61832-3745
person
Provider Profile Details
NPI Number
1366451163
Provider Name
Vathiar A Tazudeen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
701 W Fairchild St, Danville, IL, 61832-3745
Phone Number
217-431-8400
Fax Number
217-431-0387
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036061107 05 IL
institution
Provider Business Practice Location Address Details
Address
701 W Fairchild St
City
State
Zip
61832-3745
Phone Number
217-431-8400
Fax Number
217-431-0387
person
Provider Business Mailing Address Details
Address
701 W Fairchild St
City
State
Zip
61832-3745
Phone Number
217-431-8400
Fax Number
217-431-0387
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
036061107 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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