Healthcare Provider Details

I. General information

NPI: 1992308852
Provider Name (Legal Business Name): MULTIDISCIPLINARY PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 W JANNS RD
THOUSAND OAKS CA
91360-2071
US

IV. Provider business mailing address

227 W JANNS RD
THOUSAND OAKS CA
91360-2071
US

V. Phone/Fax

Practice location:
  • Phone: 805-242-4884
  • Fax: 805-242-4885
Mailing address:
  • Phone: 805-242-4884
  • Fax: 805-242-4885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MUHAMMAD ASIF TAQI
Title or Position: OWNER AND PHYSICIAN
Credential: MD
Phone: 805-242-4884