Individual
DR. TAREQ ALI KHEDIR AL-TIAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, SUITE 2B-421, WASHINGTON, DC 20037-3201
(202) 741-2914
Mailing address
2150 PENNSYLVANIA AVE NW, SUITE 2B-421, WASHINGTON, DC 20037-3201
(202) 741-2914
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27541
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2009
Last updated
07/09/2019
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