Basic Information
Provider Information
NPI: 1073778726
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CONTRACTOR
FirstName: TAHMEED
MiddleName: AKIL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11234 ANDERSON ST
Address2: 1617
City: LOMA LINDA
State: CA
PostalCode: 923542804
CountryCode: US
TelephoneNumber: 9095584200
FaxNumber:  
Practice Location
Address1: 11234 ANDERSON ST
Address2: 1617
City: LOMA LINDA
State: CA
PostalCode: 923542804
CountryCode: US
TelephoneNumber: 9095584200
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/22/2008
LastUpdateDate: 12/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0001XA127103CAY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
207RC0000XA127103CAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207R00000XA127103CAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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