Individual
TARIQ MEHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S JACKSON ST FL 2, LOUISVILLE, KY 40202-1622
(502) 587-4267
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 587-4267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35413
KY
207RI0200X
Infectious Disease Physician
01055144A
IN
207RI0200X
Infectious Disease Physician
Primary
35413
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200354110
—
IN
01
—
440003936
MEDICARE RAILROAD
—
05
—
64043177
—
KY
Enumeration date
08/30/2006
Last updated
04/29/2021
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