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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 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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