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Individual

FARZANA TARIQ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-3309
(573) 882-3957
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-4038
(573) 882-3957

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
05/03/2013
Last updated
12/12/2023
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