Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 38156 | IA |
N | 111NI0900X | Internist | 38156 | IA |
N | 207RH0000X | Hematologist | 38156 | IA |
Y | 207RX0202X | Medical Oncology | 38156 | IA |
NPI | 1447469655 |
---|---|
Provider Name | Taher Bashir Abu Hejleh |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 02/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1447469655 | (05) | IA |