Healthcare Provider Details

I. General information

NPI: 1013697291
Provider Name (Legal Business Name): TABEER TASEER AHMED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 EAST 233 STREET BRONX
NEW YORK NY
10466
US

IV. Provider business mailing address

600 EAST 233 STREET BRONX BRONX, NEW YORK
NEW YORK NY
10466
US

V. Phone/Fax

Practice location:
  • Phone: 858-241-7956
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1027593
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: