MR. VATHIAR A TAZUDEEN M.D.
NPI 1366451163
Specialist in Danville, IL

Active since August 08, 2006
701 W FAIRCHILD ST, DANVILLE, IL 61832(217) 431-8400(217) 431-0387 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Vathiar A Tazudeen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. VATHIAR A TAZUDEEN M.D. (NPI 1366451163) is an individual specialist in Danville, Illinois, licensed in Illinois (036061107) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1366451163
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. VATHIAR A TAZUDEENCredential: M.D.
Location Address701 W FAIRCHILD STDanville, IL 61832-3745
Mailing Address701 W Fairchild StDanville, IL 61832-3745 · (217) 431-8400 · Fax (217) 431-0387
Fax(217) 431-0387
Sole ProprietorYes
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1366451163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 036061107
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
701 W FAIRCHILD ST, Danville, IL 61832

Other Identifiers 3

Medicare UPIND14477
Medicaid036061107IL
Medicare ID-Type Unspecified206062IL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
701 W FAIRCHILD ST, SUITE B
DANVILLE, IL 61832
Specialist
701 W FAIRCHILD ST
DANVILLE, IL 61832
Psychiatry & Neurology (Neurology)
701 W FAIRCHILD ST, LOWER LEVEL
DANVILLE, IL 61832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vathiar Tazudeen's NPI number?

The NPI number for Vathiar Tazudeen is 1366451163. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Vathiar Tazudeen located?

Vathiar Tazudeen practices at 701 W Fairchild St, Danville, IL 61832. The listed phone number is (217) 431-8400.

What is Vathiar Tazudeen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Vathiar Tazudeen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.