DR. MAHTAB TASHAKORI, MD

Family Medicine

Active Individual
NPI: 1508895780

Practice Address

1802 SOUTH MATTIS AVE
Champaign, IL 61821

Phone: (217) 326-1220

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 036113377 (IL)

Frequently Asked Questions

NPI 1508895780 is the National Provider Identifier for DR. MAHTAB TASHAKORI, MD, a Family Medicine provider located in Champaign, IL. This NPI was enumerated on July 1, 2006.
DR. MAHTAB TASHAKORI, MD practices at 1802 SOUTH MATTIS AVE, Champaign, IL 61821.

Quick Facts

NPI
1508895780
Type
Individual
Enumerated
Jul 1, 2006
Last Updated
Nov 2, 2009

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