Ahmed, Tariq

Ahmed, Tariq is an sole proprietor health care provider with primary practice located at 1049 N Pine Rd , Olla LA 71465-4826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Ahmed, Tariq can be contacted via phone (318) 495-0755.

Contact Information

Primary practice address
1049 N Pine Rd Olla LA 71465-4826
Fax: (318) 495-0781
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 12117R Louisiana

Profile Details

NPI number 1518076785
LBN Legal business name Ahmed, Tariq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated May 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518076785 NPPES
Louisiana MEDICAID 1533661
Louisiana Other 12117R

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