MEDICARE: NADEEM TARIQ MD

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	10625	NV
2	208M00000X	Hospitalist Physician	10625	NV

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	:	1750330726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADEEM TARIQ MD

Provider Business Mailing Address
First Line	:	1930 VILLAGE CENTER CIR
Second Line	:	3-434
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6299
Country	:	US
Telephone Number	:	702-921-6823
Fax Number	:	702-921-6821

Provider Business Practice Location Address
First Line	:	2600 S RAINBOW BLVD
Second Line	:	#108
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-4006
Country	:	US
Telephone Number	:	702-921-6823
Fax Number	:	702-921-6821

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	03/07/2023

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Directions to “ NADEEM TARIQ MD” Practice Location

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