Individual
DR. TARIQ AHMAD GHEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 SERVICE RD # A217, EAST LANSING, MI 48824-7015
(517) 353-8122
(517) 432-3713
Mailing address
804 SERVICE RD # A109F, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301102889
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609213909
—
MI
Enumeration date
05/28/2013
Last updated
03/17/2018
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