Individual
SYED H TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3660 VISTA, ST LOUIS, MO 63110
(314) 977-8462
(314) 771-8575
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
108419
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
108419
MO
Other
Enumeration date
08/10/2006
Last updated
11/24/2020
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