MR. Vathiar A Tazudeen, M.D.

NPI #1366451163 in Danville, Illinois

Provider Information

NPI Number: 1366451163
Entity Type: Individual
Name: MR. Vathiar A Tazudeen, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Aug 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 701 W FAIRCHILD ST
City: Danville
State: Illinois
ZIP Code: 61832-3745
Phone: (217) 431-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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