Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAHTAB TASHAKORI, MD
ActiveDR. MAHTAB TASHAKORI, MD is a Family Medicine healthcare provider located in CHAMPAIGN, Illinois. NPI 1508895780 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1508895780
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2006 (19.973656293202 yrs)
- Last Updated
- Nov 2, 2009
- License
-
036113377 (IL)
Practice Information
- Address
-
1802 SOUTH MATTIS AVECHAMPAIGN, IL, 61821Browse IL providers · Browse ZIP 61821
- Phone
- 2173261220
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. HEIDI LYNN GADDEY | M.D. | 1396732061 |
| DR. LOWELL GREGORY NAPIER | M.D. | 1437137957 |
| DR. CORINNE E KOHLER | MD | 1053386250 |
| SONJA ELIZABETH HANSEN | MD | 1710923560 |
| ROBERT B JOHNSTON | M.D. | 1720016686 |
| STEPHANIE(TESS) A BAILEY | MD | 1235169426 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.