Healthcare Provider Details

I. General information

NPI: 1790112456
Provider Name (Legal Business Name): TAQI'S INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2013
Last Update Date: 09/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26520 CACTUS AVE A2006
MORENO VALLEY CA
92555-3927
US

IV. Provider business mailing address

1180 N INDIAN CANYON DR SUITE 214W
PALM SPRINGS CA
92262-4800
US

V. Phone/Fax

Practice location:
  • Phone: 951-486-4460
  • Fax: 951-486-6510
Mailing address:
  • Phone: 760-416-5111
  • Fax: 760-416-4574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberA 118331
License Number StateCA

VIII. Authorized Official

Name: DR. MUHAMMAD ASIF TAQI
Title or Position: NEUROLOGY/VASCULAR NEUROLOGY
Credential: M.D.
Phone: 951-486-4460