Individual
DR. TARIQ M DASTAGIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2185 CITRACADO PKWY, ESCONDIDO, CA 92029-4159
(442) 281-4047
Mailing address
2185 CITRACADO PKWY, ESCONDIDO, CA 92029-4159
(442) 281-4047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C55842
CA
207R00000X
Internal Medicine Physician
MD426854
PA
208M00000X
Hospitalist Physician
Primary
C55842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176532
BLUE SHIELD
PA
Enumeration date
01/09/2006
Last updated
09/21/2017
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