Individual
TAREK MOUSSA
Active
Individual
TAREK MOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35095949
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.095949
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000669833
ANTHEM
OH
01
—
000000696921
ANTHEM
OH
05
—
3101002
—
OH
05
—
3810018548
—
WV
01
—
P00931604
RRMCR
OH
Enumeration date
10/14/2009
Last updated
10/13/2020
Update your record
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