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Individual
TAREQ SALOUS
Active
Individual
TAREQ SALOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01083851A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01083851A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264910408
MEDICARE PTAN
IN
05
—
300037850
—
IN
Enumeration date
07/02/2017
Last updated
03/07/2025
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