Individual
M. TAREK BAGHDADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 YAKIMA AVE, SUITE 300, TACOMA, WA 98405-4499
(253) 383-5628
(253) 383-5687
Mailing address
1802 YAKIMA AVE, SUITE 300, TACOMA, WA 98405-4499
(253) 383-5628
(253) 383-5687
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00026186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055185
—
WA
01
—
G001001816
GROUP PTAN
WA
01
—
GAB11662
INDIVDUAL PTAN
WA
Enumeration date
08/23/2006
Last updated
07/11/2008
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