Tariq, Mohammad
Tariq, Mohammad is an individual health care provider with primary practice located at 3504 S Lafountain St , Kokomo IN 46902-3803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Tariq, Mohammad can be contacted via phone (765) 865-6600.Contact Information
Primary practice address
3504 S Lafountain St
Kokomo IN 46902-3803
Phone: (765) 865-6600
Fax: (765) 865-6606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01069034A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01069034A | Indiana |
Profile Details
| NPI number | 1386792521 |
|---|---|
| LBN Legal business name | Tariq, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2007 |
| Last updated | Nov 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386792521 | NPPES |
| Indiana | MEDICAID | 201012100 |
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