Basic Information
| Provider Information | |||||||||
| NPI: | 1346417730 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TAHIR | ||||||||
| FirstName: | PSHTIWAN | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 933 CRESTWOOD DR | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172024605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7174463018 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 112 N 7TH ST | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172011720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172174300 | ||||||||
| FaxNumber: | 7172174217 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2008 | ||||||||
| LastUpdateDate: | 01/09/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 01/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD437988 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | MD437988 | PA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 9263404 | 01 | PA | AETNA NON-HMO | OTHER | 1007307260034 | 01 | PA | MEDICAID GROUP # | OTHER | MD437988 | 01 | PA | MEDICAL LICENCE | OTHER | P00768398 | 01 | PA | RAILROAD MEDICARE | OTHER | 120420410 | 01 | PA | DEPT OF LABOR | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 50088509 | 01 | PA | CAPITAL BLUECROSS | OTHER | TA2123270 | 01 | PA | HIGHMARK BLUESHIELD | OTHER | 1346417730 | 01 | PA | HEALTH AMERICA | OTHER | 1585291 | 01 | PA | GATEWAY | OTHER | FT1605332 | 01 | PA | DEA | OTHER | 102372750 0001 | 05 | PA | MEDICAID | 102372750 0002 | 05 | PA | MEDICAID | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 25-1716306 | 01 | PA | GREATWEST HEALTHCARE | OTHER | 2507285 | 01 | PA | MAMSI GROUP # (WH) | OTHER | 289493 | 01 | PA | UNISON | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | 6024884 | 01 | PA | AETNA HMO | OTHER | 1346417730 | 01 | PA | FIRST HEALTH | OTHER | 2183091 | 01 | PA | MAMSI GROUP # (CH) | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER |