MEDICARE: SAAD TARIQ 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	S3074	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1538615869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAAD TARIQ M.D.

Provider Business Mailing Address
First Line	:	2550 SISTER MARY COLUMBA DR
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-4327
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6431 FANNIN ST STE MSB 1134
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-6500
Fax Number	:	713-500-6530

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

Provider Enumeration Date	:	08/28/2016
Last Update Date	:	01/28/2026

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