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Individual

DR. TARIQ J KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8421 POINTE LOOP DR, VENICE, FL 34293
(941) 412-9787
(941) 480-0388
Mailing address
PO BOX 1764, VENICE, FL 34285
(941) 412-9787
(941) 480-0388

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME57290
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00782
UNIVERSAL
01
02625
BLUE CROSS
05
262101100
FL
01
2870035-016
CIGNA
FL
01
4217880
AETNA
Enumeration date
08/11/2006
Last updated
08/13/2010
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