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

Fahad Bin Tahir

Individual provider Internal Medicine Physician · NPI 1396353892

Fahad Bin Tahir is an Internal Medicine in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2020
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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 509-5305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2020015743 (MO)

Record details

NPI number1396353892
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 21, 2020
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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