Individual
NASREEN TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
212 HOSPITAL AVE, OZARK, AL 36360-2038
(334) 774-1555
(334) 774-1505
Mailing address
212 HOSPITAL AVE, OZARK, AL 36360-2038
(334) 774-1555
(334) 774-1505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29056
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29056
MEDICAL LICENSE
AL
Enumeration date
11/03/2008
Last updated
11/03/2008
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