Individual
SAMAN TARIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5785 CENTENNIAL BLVD #230, LAS VEGAS, NV 89149
(702) 383-2273
(702) 366-0570
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2000
(703) 709-3518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24401
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790309441
—
NV
Enumeration date
05/28/2020
Last updated
08/05/2024
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