Individual
DR. TARIQ M. HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 TELESTAR CT., #200, FALLS CHURCH, VA 22042-1262
(703) 573-3494
(703) 573-5353
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101241229
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038584700
—
DC
05
—
1487698965
—
VA
05
—
404080501
—
MD
01
—
P00450460
RAILROAD MEDICARE
DC
Enumeration date
06/15/2006
Last updated
12/05/2023
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