Individual
RAYHAN A. TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 JEFFERSON STREET, SUITE 300, LAUREL, MS 39440-4306
(601) 425-7500
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 425-7550
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
11550462-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
27726
MS
208600000X
Surgery Physician
MT211207
PA
Other
Enumeration date
06/20/2016
Last updated
08/30/2021
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