Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

M. Tahir Qayyum, MD, Pmc

Organization Clinic/Center · NPI 1487821708

M. Tahir Qayyum, MD, Pmc is a Clinic/Center in Bastrop, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008

Practice location Address checks out

540 Durham St
Bastrop, LA 71220
Phone: (318) 283-2200
Fax: (318) 283-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 10850R (LA)

Record details

NPI number1487821708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official M. Qayyum — Owner · (318) 283-2200
Other names Family Medicine Center
NPI enumeratedMay 15, 2008
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address540 Durham St, Bastrop, LA 71220-5013

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