Khan, Azima Tariq

Khan, Azima Tariq is an individual health care provider with primary practice located at 145 Miami Ave E , Venice FL 34285-2407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khan, Azima Tariq can be contacted via phone (941) 480-0088.

Contact Information

Primary practice address
145 Miami Ave E Venice FL 34285-2407
Phone: (941) 480-0088
Fax: (941) 480-0006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME86844 Florida

Profile Details

NPI number 1912000175
LBN Legal business name Khan, Azima Tariq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Aug 9th, 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 1912000175 NPPES
Other 1235351412 GROUP NPI
Other 1912000175 GROUP NPI
MEDICAID 002939500 GROUP NPI

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