Dastagir, Tariq M

Dastagir, Tariq M is an individual health care provider with primary practice located at 2185 Citracado Pkwy , Escondido CA 92029-4159. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Dastagir, Tariq M can be contacted via phone (442) 281-4047.

Contact Information

Primary practice address
2185 Citracado Pkwy Escondido CA 92029-4159
Phone: (442) 281-4047
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C55842 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD426854 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C55842 California

Profile Details

NPI number 1033197082
LBN Legal business name Dastagir, Tariq M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Sep 21st, 2017 - about 7 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 1033197082 NPPES
Pennsylvania Other 176532 BLUE SHIELD

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