Mallick, Tariq Rahman
Mallick, Tariq Rahman is an individual health care provider with primary practice located at 915 W Exchange Pkwy Ste 210 , Allen TX 75013-7032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mallick, Tariq Rahman can be contacted via phone (469) 656-1033.Contact Information
Primary practice address
915 W Exchange Pkwy Ste 210
Allen TX 75013-7032
Phone: (469) 656-1033
Fax: (855) 231-4739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34881 | Iowa |
Profile Details
| NPI number | 1760485478 |
|---|---|
| LBN Legal business name | Mallick, Tariq Rahman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jun 1st, 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 | 1760485478 | NPPES |
| Texas | Other | Q4629 | MEDICAL LICENSE |
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