Tahir Qayyum (NPI# 1083714117, PAC ID# 1557274834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083714117 |
| PAC ID by PECOS | 1557274834 |
| Professional Enrollment ID | I20101026000919 |
| Full Name | Tahir Qayyum |
| Address |
3510 Medical Park Dr Suite 8 Monroe LA 71203-2363 |
| Gender | M |
| Medical School | MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| 190116 | MOREHOUSE GENERAL HOSPITAL |
| 190160 | GLENWOOD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 540 Durham St, Bastrop, LA 71220-5013 | ||
| 3510 Medical Park Dr, Suite 8, Monroe, LA 71203-2363 |
| Street Address |
3510 MEDICAL PARK DR SUITE 8 |
| City | MONROE |
| State | LA |
| Zip | 71203-2363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Watson | Family Medicine | 3510 Medical Park Dr, Suite 1, Monroe, LA 71203-2363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Desadier | Nurse Practitioner | Integrated Care Professionals of Lousiana, LLC | 150 Venable Ln, Suite 200, Monroe, LA 71203-2028 |
| Pamela Curry | Nurse Practitioner | Integrated Care Professionals of Lousiana, LLC | 150 Venable Ln, Suite 200, Monroe, LA 71203-2028 |
| Geralyn Perez | Nurse Practitioner | Integrated Care Professionals of Lousiana, LLC | 150 Venable Ln, Suite 200, Monroe, LA 71203-2028 |
| David L Barnes | Family Medicine | 3400 Medical Park Dr C, Monroe, LA 71203-2300 | |
| Kerry Anders | Family Medicine | 3400 Medical Park Dr, Suite A, Monroe, LA 71203-2300 | |
| Tina M Smith | Nurse Practitioner | 3408 Medical Park Dr, Monroe, LA 71203-2354 | |
| Rafael B Armstrong | Obstetrics/gynecology | 3408 Medical Park Dr, Monroe, LA 71203-2354 | |
| Brian P Krier | Family Practice | Bayou Md, Lc | 325 Chauvin Pointe Dr, Monroe, LA 71203-2361 |
| James D Stockstill | Family Medicine | 3510 Magnolia Cv, Suite 190, Monroe, LA 71203-2370 | |
| Jereta J Lawrence | Nurse Practitioner | The Arthritis and Diabetes Clinic Inc | 3402 Magnolia Cv, Monroe, LA 71203-2374 |
| Find all physicians in zip 71203 | |||
| City | MONROE |
| Zip Code | 71203 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONROE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tahir Qayyum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.