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Individual
TARIK FATHY MASSOUD
Active
Individual
TARIK FATHY MASSOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
SFP32
CA
2085N0700X
Neuroradiology Physician
F5800
CA
2085R0202X
Diagnostic Radiology Physician
SFP32
CA
Other
Enumeration date
11/21/2013
Last updated
04/08/2024
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