MOHANAD A ELTAHIR DPM PA NPI 1073774634

NPI Information

  • NPI: 1073774634
  • Provider Name: MOHANAD A ELTAHIR DPM PA
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Former Legal Business Name: ALAN F SHADER DPM PA
  • Address: 3800 W 12TH AVE
    HIALEAH, FL
    ZIP 33012
  • Phone: (305) 681-2600

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NPI Details

MOHANAD A ELTAHIR DPM PA is a podiatrist in Hialeah, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MOHANAD A ELTAHIR DPM PA NPI is 1073774634. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Alan F Shader Dpm Pa.

The provider's business location address is:

3800 W 12TH AVE
HIALEAH, FL
ZIP 33012-793
Phone: (305) 681-2600
Fax: (305) 685-0906

The provider's authorized official is Mohanad A Eltahir .
The authorized official title is Owner and has the following contact phone number (305) 682-2600.

The enumeration date for this NPI number is 6/17/2008 and was last updated on 12/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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