Individual
MR. TARIQ MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 COAL HOLLOW ROAD, PIKEVILLE, KY 41501
(606) 432-9216
Mailing address
119 COAL HOLLOW ROAD, PIKEVILLE, KY 41501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38098
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64061765
—
KY
Enumeration date
06/14/2006
Last updated
08/03/2007
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