Organization
TARIQ OMAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ OMAR MD (PRESIDENT/OWNER)
(734) 462-0340
Entity
Organization
Contact information
Practice address
18900 W 10 MILE RD, SOUTHFIELD, MI 48075-2669
(248) 424-8340
(248) 424-7209
Mailing address
4156 MARLWOOD DR, WEST BLOOMFIELD, MI 48323-2750
(734) 462-0340
(734) 462-0344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
01/30/2009
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