Khan, Tariq Mahmood
Khan, Tariq Mahmood is an individual health care provider with primary practice located at 1684 Foote Avenue Ext , Jamestown NY 14701-9385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Khan, Tariq Mahmood can be contacted via phone (716) 661-9730.Contact Information
Primary practice address
1684 Foote Avenue Ext
Jamestown NY 14701-9385
Phone: (716) 661-9730
Fax: (716) 661-9732
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 207469-1 | New York |
Profile Details
NPI number | 1922002906 |
---|---|
LBN Legal business name | Khan, Tariq Mahmood |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2005 |
Last updated | Jan 15th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922002906 | NPPES |
New York | MEDICAID | 02366347 | |
New York | Other | 1290375 | |
New York | Other | 00021051301 | |
New York | Other | 00021051301 | |
New York | MEDICAID | 01664951 | |
New York | Other | 72679 | |
New York | Other | 040426036267 | |
New York | Other | 161570481 | |
New York | Other | 000524287002 |
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