Individual
DR. AMINA TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 LEXINGTON AVE, TRI-STATE RADIOLOGY, ASHLAND, KY 41101-2843
(606) 327-5329
Mailing address
100 PRINCESS DR, ASHLAND, KY 41101-2158
(207) 433-5143
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016812
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061389
ANTHEM BC/BS
ME
01
—
P00243568
RR MEDICARE
—
Enumeration date
07/07/2006
Last updated
07/08/2007
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