Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.093438 | OH |
N | 111NI0900X | Internist | 35.093438 | OH |
N | 207R00000X | Internist | 4301079502 | MI |
N | 111NI0900X | Internist | 4301079502 | MI |
N | 207R00000X | Internist | MD433853 | PA |
N | 111NI0900X | Internist | MD433853 | PA |
N | 207RI0200X | Infectious Disease | 036125335 | IL |
Y | 207RI0200X | Infectious Disease | P3591 | TX |
NPI | 1083674485 |
---|---|
Provider Name | Farheen Tariq |
First Address | Sugar Land, TX 77479-2744 |
Second Address | Sugar Land, TX 77479-2744 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1021867550001 | (05) | PA |
1021867550002 | (05) | PA |
110F376980 | BCBSM (01) | MI |
2092953 | HIGHMARK BLUE SHIELD (01) | PA |
2916857000 | INDEPENDENCE BLUE CROSS (01) | PA |
4797902 | (05) | MI |