Individual
SHAMAIL S. TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E VALENCIA MESA DR STE 206, FULLERTON, CA 92835-3817
(714) 446-5050
Mailing address
100 E VALENCIA MESA DR STE 206, FULLERTON, CA 92835-3817
(714) 446-5050
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
2016007040
MO
207RI0011X
Interventional Cardiology Physician
Primary
A116248
CA
Other
Enumeration date
06/19/2008
Last updated
01/10/2023
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