Healthcare Provider Details

I. General information

NPI: 1730581810
Provider Name (Legal Business Name): TAREK AHMED AWAD BELAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2014
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 HARRY S TRUMAN DR N
LARGO MD
20774-5477
US

IV. Provider business mailing address

12530 FAIRWOOD PKWY STE 1021247
BOWIE MD
20720-6356
US

V. Phone/Fax

Practice location:
  • Phone: 240-677-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD83262
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: