| M. Tahir Qayyum, Md, Pmc | |
|
540 Durham Street Bastrop LA 71220 | |
| (318) 283-2200 | |
| (318) 283-1200 |
| Full Name | M. Tahir Qayyum, Md, Pmc |
|---|---|
| Speciality | Clinic/Center |
| Location | 540 Durham Street, Bastrop, Louisiana |
| Authorized Official Name and Position | M. Tahir Qayyum (OWNER) |
| Authorized Official Contact | 3182832200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Tahir Qayyum, Md, Pmc 540 Durham St Bastrop LA 71220-5013 Ph: (318) 283-2200 | M. Tahir Qayyum, Md, Pmc 540 Durham Street Bastrop LA 71220 Ph: (318) 283-2200 |
| NPI Number | 1487821708 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 10/22/2010 |
| Medicare PECOS PAC ID | 1153381827 |
|---|---|
| Medicare Enrollment ID | O20101021001033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487821708 | NPI | - | NPPES |
| 1447111 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10850R (Louisiana) | Primary |
| Provider Name | Tahir Qayyum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083714117 PECOS PAC ID: 1557274834 Enrollment ID: I20101026000919 |
Camilla Carter, Md & Carter Cox Jr., Md Apc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 South Vine Street, Bastrop, LA 71220 Phone: 318-281-3521 Fax: 318-281-3537 | |
Robert E Lyon Internal Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Gunby Ave, Bastrop, LA 71220 Phone: 318-281-3432 Fax: 318-281-8850 | |
Morehouse Community Medical Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 Highland Ave, Bastrop, LA 71220 Phone: 318-283-8887 Fax: 318-281-2559 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 S Franklin St, Bastrop, LA 71220 Phone: 318-281-3920 | |
Dr James Michael Smith Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 S Washington St, Bastrop, LA 71220 Phone: 318-281-5600 Fax: 318-283-2247 | |
Sterlington Critical Access Hospital, L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 370 W Hickory Ave, Bastrop, LA 71220 Phone: 186-659-9950 Fax: 186-665-0379 |