Individual
MOHAMMED TARIQ VAKANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 ASHMUN ST, SUITE 5, SAULT SAINTE MARIE, MI 49783-1964
(906) 632-6013
(906) 632-8618
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-4821
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
087007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4856302
—
MI
01
—
MV087007
BCBSM
MI
01
—
P00359507
RAILROAD MEDICARE
MI
Enumeration date
07/28/2006
Last updated
04/23/2009
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