Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 0101269260 | VA |
NPI | 1184043622 |
---|---|
Provider Name | Jarid Tareen |
First Address | Charlotte, NC 28260-0447 |
Second Address | Manassas, VA 20110-3673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2014 |
Last Update Date | 28/10/2020 |