1619146909 NPI number — MRS. TAHSEEN AKRAM RAWLS R.D

Table of content: MRS. TAHSEEN AKRAM RAWLS R.D (NPI 1619146909)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619146909 NPI number — MRS. TAHSEEN AKRAM RAWLS R.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAWLS
Provider First Name:
TAHSEEN
Provider Middle Name:
AKRAM
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
AKRAM
Provider Other First Name:
TAHSEEN
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1619146909
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4720 PARK EDEN CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32810-1903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-293-8275
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6925 LAKE ELLENOR DR
Provider Second Line Business Practice Location Address:
SUITE 650
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32809-4631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-852-1751
Provider Business Practice Location Address Fax Number:
407-852-1748
Provider Enumeration Date:
02/21/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  ND2813 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)