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NPI Code Detail

MEDICARE: DR. TARIQ JAMIL M.D.

MEDICARE: DR. TARIQ JAMIL 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
1207RC0000XCardiovascular Disease Physician210477NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649253287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TARIQ JAMIL M.D.
Provider Business Mailing Address
First Line : 1 GUSTAVE L. LEVY PLACE
Second Line : BOX 1030
City : NEW YORK
State : NY
Zip : 10029
Country : US
Telephone Number : 212-427-1540
Fax Number : 212-410-7196
Provider Business Practice Location Address
First Line : 1220 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1009
Country : US
Telephone Number : 718-376-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 08/29/2022

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