Moussa, Tarek
Moussa, Tarek is an sole proprietor health care provider with primary practice located at 4437 State Route 159 Ste 125 , Chillicothe OH 45601-7065. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Moussa, Tarek can be contacted via phone (740) 779-4570.Contact Information
Primary practice address
4437 State Route 159 Ste 125
Chillicothe OH 45601-7065
Phone: (740) 779-4570
Fax: (740) 779-4579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35095949 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 35.095949 | Ohio |
Profile Details
| NPI number | 1154656882 |
|---|---|
| LBN Legal business name | Moussa, Tarek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2009 |
| Last updated | Oct 13th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154656882 | NPPES |
| Ohio | MEDICAID | 3101002 | |
| Ohio | MEDICAID | 3810018548 | |
| Ohio | Other | P00931604 | |
| Ohio | Other | 000000669833 | |
| Ohio | Other | 000000696921 |
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