Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 036.132747 | IL |
Y | 207L00000X | Anesthesiologist | 55867-20 | WI |
NPI | 1003058942 |
---|---|
Provider Name | Hajera Fatima Taher |
First Address | Beloit, WI 53511-1500 |
Second Address | Beloit, WI 53511-2230 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2009 |
Last Update Date | 10/04/2019 |