MEDICARE: JAMAL M TAHA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	32158	KY
2	207T00000X	Neurological Surgery Physician	MD213490	OR
3	207T00000X	Neurological Surgery Physician	2020022525	MO
4	207T00000X	Neurological Surgery Physician	35281	SC
5	207T00000X	Neurological Surgery Physician	35.070719	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0851897	OTHER	OH	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801861018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMAL M TAHA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 42255
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-0255
Country	:	US
Telephone Number	:	937-865-2521
Fax Number	:	844-701-8944

Provider Business Practice Location Address
First Line	:	1989 MIAMISBURG CENTERVILLE RD STE 304
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-3823
Country	:	US
Telephone Number	:	937-299-8242
Fax Number	:	844-701-8968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	02/02/2026

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Directions to “ JAMAL M TAHA M.D.” Practice Location

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