| Omar Zahoor Tahir, MD | |
|
15095 Amargosa Rd, Victorville, CA 92394-1879 | |
| (760) 596-3363 | |
| (760) 596-3366 |
| Full Name | Omar Zahoor Tahir |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 15095 Amargosa Rd, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316102544 | NPI | - | NPPES |
| C180326 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | C180326 (California) | Primary |
| Entity Name | Empire Vein & Vascular Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821415142 PECOS PAC ID: 1951732759 Enrollment ID: O20200512000499 |
| Entity Name | High Desert Vein And Vascular P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588402887 PECOS PAC ID: 3870030844 Enrollment ID: O20240808000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Zahoor Tahir, MD 71780 San Jacinto Dr Bldg I, Rancho Mirage, CA 92270-5516 Ph: (760) 568-3461 | Omar Zahoor Tahir, MD 15095 Amargosa Rd, Victorville, CA 92394-1879 Ph: (760) 596-3363 |
Stephen Kolakowski Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395 Phone: 760-242-9355 | |
Dr. Mitesh Patel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395 Phone: 760-242-9355 | |
Julius A Cruz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15203 11th St, Ste C, Victorville, CA 92395 Phone: 760-245-9714 Fax: 760-245-2539 | |
Dr. Jason Todd Chiriano, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15030 7th St, Victorville, CA 92395 Phone: 609-510-0657 Fax: 760-951-5382 | |
Dr. Franklin Allen Rutledge Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12637 Hesperia Rd, Ste B, Victorville, CA 92395 Phone: 760-646-8540 Fax: 887-304-0588 | |
Mr. Phong Thanh Dargon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15030 7th St, Victorville, CA 92395 Phone: 760-951-0065 Fax: 760-951-5382 |