Mahmood, Tariq

Mahmood, Tariq is an individual health care provider with primary practice located at 1010 W La Veta Ave Ste 250 , Orange CA 92868-4303. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Mahmood, Tariq can be contacted via phone (714) 541-6622.

Contact Information

Primary practice address
1010 W La Veta Ave Ste 250 Orange CA 92868-4303
Phone: (714) 541-6622
Fax: (714) 541-0531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A34660 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A34660 California

Profile Details

NPI number 1104874171
LBN Legal business name Mahmood, Tariq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Apr 28th, 2023 - about last year

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 1104874171 NPPES
California MEDICAID GR0057460
California Other WA34660B

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