Individual
DR. TAREK OMAR PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 MERIDIAN ST N, 400, HUNTSVILLE, AL 35801-4720
(256) 539-8851
(256) 534-7203
Mailing address
401 MERIDIAN ST N, 400, HUNTSVILLE, AL 35801-4720
(256) 539-8851
(256) 534-7203
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
00027315
AL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
27315
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112997
—
AL
Enumeration date
04/18/2006
Last updated
10/18/2019
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