Individual
DR. TARIQ A. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 OAK PARK BLVD, 3RD FL, LAKE CHARLES, LA 70601-8991
(337) 475-8100
(337) 475-8510
Mailing address
PO BOX 122108, DEPT 2108, DALLAS, TX 75312-2108
(337) 475-8100
(337) 475-8510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12962R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1670936
—
LA
Enumeration date
03/27/2006
Last updated
06/02/2014
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