Individual
TARIQ HAFIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 N 52ND ST, PHILADELPHIA, PA 19131-4736
(267) 930-4858
Mailing address
101 E OLNEY AVE, STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD050936L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD050936L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000952751
BLUE SHIELD
PA
05
—
0016428400002
—
PA
01
—
020301000
FEDERAL BLACK LUNG
PA
01
—
0473231
US HEALTHCARE
PA
01
—
0998130
KEYSTONE SPECIALIST
PA
01
—
110184216
RAILROAD MEDICARE PBA
PA
01
—
116993900
FEDERAL EMPLOYEES COMP
PA
01
—
33383
GEISINGER HEALTH PLAN
PA
01
—
50021738
KEYSTONE
PA
01
—
50047340
CAPITAL BLUE CROSS
PA
Enumeration date
02/09/2006
Last updated
03/31/2020
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