Individual
TARIQ A. KHASAWINAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 MEDICAL PLAZA DR STE 140, ROSEVILLE, CA 95661-3088
(916) 781-1927
(916) 781-1787
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A95588
CA
Other
Enumeration date
11/01/2006
Last updated
12/13/2021
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