Awan, Tariq M

Awan, Tariq M is an individual health care provider with primary practice located at 30055 Northwestern Hwy Ste L-30 , Farmington Hills MI 48334-3211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Awan, Tariq M can be contacted via phone (248) 865-4238.

Contact Information

Primary practice address
30055 Northwestern Hwy Ste L-30 Farmington Hills MI 48334-3211
Phone: (248) 865-4238
Fax: (248) 865-4237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101015599 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 009931 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OS17051 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5101015599 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 009931 Arizona

Profile Details

NPI number 1467403675
LBN Legal business name Awan, Tariq M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 26th, 2022 - about 2 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 1467403675 NPPES
Arizona Other 009931 ARIZONA LICENSE
Arizona Other 5101015599 ARIZONA LICENSE
Arizona MEDICAID 161081 ARIZONA LICENSE

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