Dr. Tariq Ali Ahmad, M.D
Internal Medicine, Interventional Cardiology in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1437472941
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1437472941
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tariq Ali Ahmad
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2010
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | MD448355 | PA | Yes |
| 208M00000X | Hospitalist | MD448355 | PA | |
| 207R00000X | Internal Medicine | MD448355 | PA |
Practice location
1000 E Mountain BlvdWilkes Barre, PA 18711-0027
Phone 570-808-6020 · Fax 570-808-2306
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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