Individual
TARIQ NAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5006 CHLOE LN, MECHANICSBURG, PA 17050-1680
(717) 317-7330
Mailing address
5006 CHLOE LN, MECHANICSBURG, PA 17050-1680
(717) 317-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD426596
PA
207RN0300X
Nephrology Physician
Primary
MD426596
PA
208M00000X
Hospitalist Physician
MD426596
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102244670
—
PA
01
—
11779222
CAQH
—
Enumeration date
05/15/2007
Last updated
06/20/2023
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