Basic Information
| Provider Information | |||||||||
| NPI: | 1871677997 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EL-MAHDY | ||||||||
| FirstName: | TAMER | ||||||||
| MiddleName: | OMAR | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | RASHEED EL-MAHDY | ||||||||
| OtherFirstName: | TAMER | ||||||||
| OtherMiddleName: | OMAR | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 16 HOSPITAL DR | ||||||||
| Address2: | STE D | ||||||||
| City: | YORK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 039091041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152394404 | ||||||||
| FaxNumber: | 5152394721 | ||||||||
| Practice Location | |||||||||
| Address1: | 1215 DUFF AVE. | ||||||||
| Address2: | MCFARLAND CLINIC, PC | ||||||||
| City: | AMES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 500103014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152394404 | ||||||||
| FaxNumber: | 5152394721 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2006 | ||||||||
| LastUpdateDate: | 09/06/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MA07191400 | NJ | N | Allopathic & Osteopathic Physicians | Pediatrics | 208M00000X | MA07191400 | NJ | N | Allopathic & Osteopathic Physicians | Hospitalist | 208000000X | 39539 | IA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 1857182 | 05 | PA | MEDICAID | 8606901 | 05 | NJ | MEDICAID | 9920005 | 05 | MD | MEDICAID |