MEDICARE: ARAZ TAWFIQUE 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	2084P0800X	Psychiatry Physician	A109527	CA

General Provider Information

NPI Number	:	1285882506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARAZ TAWFIQUE M.D.

Provider Business Mailing Address
First Line	:	7770 REGENTS RD
Second Line	:	STE 113-566
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1937
Country	:	US
Telephone Number	:	619-356-1446
Fax Number	:	619-618-4530

Provider Business Practice Location Address
First Line	:	990 HIGHLAND DR
Second Line	:	SUITE 105A
City	:	SOLANA BEACH
State	:	CA
Zip	:	92075-2408
Country	:	US
Telephone Number	:	619-356-1446
Fax Number	:	619-618-4530

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

Provider Enumeration Date	:	08/28/2008
Last Update Date	:	10/27/2015

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