Individual
DR. TARIQ KHALIL
Active
Individual
DR. TARIQ KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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