MEDICARE: KAMRAN TAREEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD050304L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245240985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMRAN TAREEN M.D.

Provider Business Mailing Address
First Line	:	623 FOXFIELDS RD
Second Line	:
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-2056
Country	:	US
Telephone Number	:	215-863-6140
Fax Number	:	215-492-0458

Provider Business Practice Location Address
First Line	:	2821 ISLAND AVE
Second Line	:	SUITE 264
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-2300
Country	:	US
Telephone Number	:	215-863-6140
Fax Number	:	215-492-0458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	07/08/2007

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