MANZOOR TARIQ INC. NPI 1952555005

NPI Information

NPI: 1952555005
Provider Name: MANZOOR TARIQ, INC.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
1071 AIRPORT RD
FESTUS, MO
ZIP 63028
Phone: (636) 931-7111
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MANZOOR TARIQ, INC. is an adult health nurse practitioner in Festus, MO. MANZOOR TARIQ, INC. NPI is 1952555005. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1071 AIRPORT RD
FESTUS, MO
ZIP 63028-103
Phone: (636) 931-7111

The provider's authorized official is Manzoor A Tariq .
The authorized official title is M.d. and has the following contact phone number (636) 931-7111.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 11/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	133876	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E24297	MEDICARE UPIN	MISSOURI
2	203400247	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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