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Individual

FARZANA TARIQ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
100 EXCELA HEALTH DR STE 203B, LATROBE, PA 15650-9001
(724) 532-0866
(724) 532-0869
Mailing address
100 EXCELA HEALTH DR STE 203B, LATROBE, PA 15650-9001
(724) 532-0866
(724) 532-0869

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
0101271396
VA
207T00000X
Neurological Surgery Physician
Primary
2023033932
MO
207T00000X
Neurological Surgery Physician
Primary
MD491509
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
05/03/2013
Last updated
08/03/2026
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