MEDICARE: MOHSIN ALTAF MD

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	207R00000X	Internal Medicine Physician	E-15582	AR

General Provider Information

NPI Number	:	1083235113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHSIN ALTAF MD

Provider Business Mailing Address
First Line	:	3214 E RACE AVE
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-4810
Country	:	US
Telephone Number	:	773-754-5538
Fax Number	:

Provider Business Practice Location Address
First Line	:	5203 S 68TH ST APT A214
Second Line	:
City	:	GREENDALE
State	:	WI
Zip	:	53129-1167
Country	:	US
Telephone Number	:	773-754-5538
Fax Number	:

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

Provider Enumeration Date	:	04/29/2020
Last Update Date	:	05/21/2026

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