Individual
HABIBA TARIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5215 HOLY CROSS PKWY, A2043, MISHAWAKA, IN 46545-1469
(574) 335-5000
(574) 335-2262
Mailing address
5215 HOLY CROSS PKWY, A2043, MISHAWAKA, IN 46545-1469
(574) 335-5000
(574) 335-2262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01077643A
IN
208M00000X
Hospitalist Physician
01077643A
IN
208M00000X
Hospitalist Physician
036136874
IL
Other
Enumeration date
01/19/2013
Last updated
11/01/2024
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