Individual
TARIQ A. KELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4445 MAGNOLIA AVE, DEPT OF TRAUMA, RIVERSIDE, CA 92501-4135
(714) 330-1844
Mailing address
331 NAVAJO SPRINGS RD, DIAMOND BAR, CA 91765-1318
(714) 330-1844
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A125913
CA
208600000X
Surgery Physician
125913
CA
2086S0102X
Surgical Critical Care Physician
125913
CA
2086S0127X
Trauma Surgery Physician
125913
CA
Other
Enumeration date
07/03/2013
Last updated
08/16/2022
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