Individual
DR. TARIQ KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6641 EAST BAYWOOD AVE, SUITE # A2, MESA, AZ 85206
(480) 396-2022
(480) 396-2035
Mailing address
6641 EAST BAYWOOD AVE, SUITE # A2, MESA, AZ 85206
(480) 396-2022
(480) 396-2035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22725
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5906212
AETNA
AZ
01
—
AZ0748990
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/25/2006
Last updated
03/28/2008
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