Individual
TARIQ KAMAL SAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VA NORTHERN INDIANA HEALTH CARE SYSTEM,, 2121 LAKE AVENUE, FORT WAYNE, IN 46805
(260) 426-5431
Mailing address
1025 RIVER OAK RUN, FORT WAYNE, IN 46804-3541
(260) 436-2756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01050365A
IN
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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