Khan, Tariq Ali

Khan, Tariq Ali is an individual health care provider with primary practice located at 28 S Mount Auburn Rd , Cape Girardeau MO 63703-4914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Khan, Tariq Ali can be contacted via phone (573) 331-3350.

Contact Information

Primary practice address
28 S Mount Auburn Rd Cape Girardeau MO 63703-4914
Phone: (573) 331-3350
Fax: (573) 331-3351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2022009938 Missouri

Profile Details

NPI number 1861401127
LBN Legal business name Khan, Tariq Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 31st, 2022 - about 3 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 1861401127 NPPES
Arkansas MEDICAID 132145001
Arkansas MEDICAID 3815396

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