Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 30622 | KY |
NPI | 1073561122 |
---|---|
Provider Name | Dr. Tariq Muhammad |
First Address | Louisville, KY 40205-3354 |
Second Address | Louisville, KY 40205-3354 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 11/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64306228 | (05) | KY |