Individual provider · NPI-1

Dr. Tariq Ahmad, M.D.

Internal Medicine, Cardiovascular Disease · New Haven, CT

NPI number1104955699

StatusActive

Last updated in NPPESJul 14, 2016

Details

NPI: 1104955699
Entity type: Individual (NPI-1)
Name: Dr. Tariq Ahmad
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Mar 2, 2007
Last updated: Jul 14, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RC0000X	Internal Medicine, Cardiovascular Disease	053951	CT	Yes
207R00000X	Internal Medicine	228737	MA

Practice location

333 Cedar St.
New Haven, CT 06520-8017

Phone 203-785-7191 · Fax 203-785-2917

Mailing address

Po Box 208017
333 Cedar St.
New Haven, CT 06520-8017

Phone 203-785-7191 · Fax 203-785-2917

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