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TAREQ ALI M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1790722718
Individual Registrant: TAREQ ALI M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1520 W KETTLEMAN LN SUITE B LODI, CA 95242-9290 US
Tel: 209-339-3797 Fax: 209-339-3795
Tel: 209-339-3797 Fax: 209-339-3795
Contact information for business:
1520 W KETTLEMAN LN SUITE B LODI, CA 95242-9290 US
Tel: 209-339-3797 Fax: 209-339-3795
Tel: 209-339-3797 Fax: 209-339-3795
Registration Information:
NPI: 1790722718
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | A51048 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
