Individual
KOMAL TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6730 ROOSEVELT AVE STE 303, MIDDLETOWN, OH 45005
(513) 874-0486
(513) 280-8868
Mailing address
PO BOX 229, MIAMISBURG, OH 45343-0229
(513) 874-0486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.133073
OH
208M00000X
Hospitalist Physician
35.133073
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300858
—
OH
05
—
7100557280
—
KY
Enumeration date
06/01/2015
Last updated
10/19/2018
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