Individual
TARIQ MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3609 OAKDALE RD, SUITE 5, MODESTO, CA 95357-0718
(209) 551-8888
(209) 551-0412
Mailing address
3609 OAKDALE RD, SUITE 5, MODESTO, CA 95357-0718
(209) 551-8888
(209) 551-0412
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
A84987
CA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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