Basic Information
| Provider Information | |||||||||
| NPI: | 1255321147 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MINHAS | ||||||||
| FirstName: | TASLEEM | ||||||||
| MiddleName: | AHMED | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3650 MUDDY CREEK RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452382057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134510500 | ||||||||
| FaxNumber: | 5134510210 | ||||||||
| Practice Location | |||||||||
| Address1: | 3650 MUDDY CREEK RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452382057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134510500 | ||||||||
| FaxNumber: | 5134510210 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2005 | ||||||||
| LastUpdateDate: | 12/02/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 35-03-3466 | OH | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0259661 | 05 | OH | MEDICAID | 0900674 | 01 | OH | UNITED HEALTH CARE | OTHER | 7021273 | 01 | OH | CIGNA | OTHER | 000000515905 | 01 | OH | ANTHEM | OTHER | 33466 | 01 | OH | HUMANA | OTHER |