Braik, Tareq
Braik, Tareq is an individual health care provider with primary practice located at 85 E Us Highway 6 Ste 200 , Valparaiso IN 46383-8947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Braik, Tareq can be contacted via phone (219) 983-6260.Contact Information
Primary practice address
85 E Us Highway 6 Ste 200
Valparaiso IN 46383-8947
Phone: (219) 983-6260
Fax: (219) 983-6060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD2011-0742 | New Mexico |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 01077904A | Indiana |
Profile Details
| NPI number | 1508174376 |
|---|---|
| LBN Legal business name | Braik, Tareq |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2010 |
| Last updated | Sep 10th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508174376 | NPPES |
| New Mexico | Other | 1932187044 | GROUP NPI |
| New Mexico | MEDICAID | 83221328 | GROUP NPI |
| New Mexico | Other | P01121737 | GROUP NPI |
| New Mexico | Other | Z2565 | GROUP NPI |
| New Mexico | Other | 800521089 | GROUP NPI |
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