Tariq Ali Khan Md

LBN: Tariq Ali Khan Md
Tariq Ali Khan Md is an health care organization with primary practice located at 14642 Newport Ave Suite 408, Tustin CA 92780-6057. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tariq Ali Khan Md can be contacted via phone (657) 218-9859, or through Khan, Tariq Ali via phone (657) 218-9859.

Contact Information

Primary practice address
14642 Newport Ave Suite 408 Tustin CA 92780-6057
Phone: (657) 218-9859
Fax: (657) 218-4023
Website:
Map and Directions
Authorized official contact:
Name: Khan, Tariq Ali Doctor of Medicine (MD)
Phone: (657) 218-9859

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A112661 California

Profile Details

NPI number 1033662101
LBN Legal business name Tariq Ali Khan Md
DBA Doing business as
Authorized official Khan, Tariq Ali Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2016
Last updated Jun 11th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033662101 NPPES
California Other 1295925253 NPI INDIVIDUAL

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