Individual
TAREKH BAOSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4910 VALLEY VIEW BLVD NW FL 3, ROANOKE, VA 24012
(540) 265-4210
Mailing address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101275783
VA
Other
Enumeration date
03/20/2019
Last updated
08/04/2022
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