MAHTAB TASHAKORI MD – NPI #1508895780
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
MAHTAB TASHAKORI is a physician located in CHAMPAIGN, IL. NPPES has assigned the NPI number 1508895780 to MAHTAB TASHAKORI on July 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 17 years ago on Nov 02, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAHTAB TASHAKORI below.
NPI Profile for
MAHTAB TASHAKORI
(about 20 years ago)
CHAMPAIGN, IL 61821 Phone: (217) 326-1220 Fax:
URBANA, IL 61803-6002 Phone: (217) 337-4105 Fax:
Identifiers for MAHTAB TASHAKORI
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE GROUP NUMBER | IL | 553180 |
| OTHER | MEDICARE GROUP NUMBER | IL | 834340 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
IL | 036113377 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
MAHTAB TASHAKORI is affiliated with the following medical group(s):
- HOSPITAL
- JAVON BEA HOSPITAL2400 NORTH ROCKTON AVENUE
ROCKFORD, IL 61103 - OSF SAINT ANTHONY MEDICAL CENTER5666 EAST STATE STREET
ROCKFORD, IL 61108 - SWEDISH AMERICAN HOSPITAL1401 EAST STATE STREET
ROCKFORD, IL 61104
- JAVON BEA HOSPITAL2400 NORTH ROCKTON AVENUE
- HOME HEALTH AGENCY
- SAINT ANTHONY MEDICAL CENTER FOR HOME CARE9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
- SAINT ANTHONY MEDICAL CENTER FOR HOME CARE9951 ROCK CUT CROSSING
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