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Individual

ABDUL TARIQ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
4275 BURNHAM AVE STE 230, LAS VEGAS, NV 89119-5400
(702) 956-0996
(702) 965-2216
Mailing address
390 OTSEGO CT, HENDERSON, NV 89012-4862

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DO2378
NV

Other

Enumeration date
05/14/2014
Last updated
01/30/2020
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