Provider Demographics
NPI:1386422269
Name:ALHAJ TAHTOUH, RAAD
Entity type:Individual
Prefix:
First Name:RAAD
Middle Name:
Last Name:ALHAJ TAHTOUH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UBMD INTERNAL MEDICINE 462 GRIDER ST. 11TH FLOOR.
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-5418
Mailing Address - Country:US
Mailing Address - Phone:716-951-0760
Mailing Address - Fax:
Practice Address - Street 1:UBMD INTERNAL MEDICINE 462 GRIDER ST. 11TH FLOOR.
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-5418
Practice Address - Country:US
Practice Address - Phone:716-951-0760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333901207RN0300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology