Khan, Tariq A.

Khan, Tariq A. is an individual health care provider with primary practice located at 1717 Oak Park Blvd 3Rd Fl, Lake Charles LA 70601-8991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Tariq A. can be contacted via phone (337) 475-8100.

Contact Information

Primary practice address
1717 Oak Park Blvd 3Rd Fl Lake Charles LA 70601-8991
Phone: (337) 475-8100
Fax: (337) 475-8510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12962R Louisiana

Profile Details

NPI number 1700846169
LBN Legal business name Khan, Tariq A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jun 2nd, 2014 - about 11 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 1700846169 NPPES
Louisiana MEDICAID 1670936

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