Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | ME105652 | FL |
NPI | 1386829984 |
---|---|
Provider Name | Abida Taher |
First Address | Clearwater, FL 33765-1703 |
Second Address | Clearwater, FL 33765-1703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2008 |
Last Update Date | 23/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020042900 | (05) | FL |