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Individual
TARIQ AHMED
Active
Individual
TARIQ AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
12117R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12117R
LICENSE NUMBER
LA
05
—
1533661
—
LA
Enumeration date
08/30/2006
Last updated
05/10/2019
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