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NPI Code Detail

MEDICARE: INFECTIOUS DISEASES 360 INC

MEDICARE: INFECTIOUS DISEASES 360 INC
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
1207RI0200XInfectious Disease Physician

General Provider Information

NPI Number : 1952264756
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFECTIOUS DISEASES 360 INC
Provider Business Mailing Address
First Line : 3301 MATLOCK RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2908
Country : US
Telephone Number : 616-274-8664
Fax Number :
Provider Business Practice Location Address
First Line : 3301 MATLOCK RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2908
Country : US
Telephone Number : 616-274-8664
Fax Number :
Authorized Official
Title or Position : CEO
Name : ZAIN TARIQ
Credential : MD
Telephone Number : 313-695-2346
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “INFECTIOUS DISEASES 360 INC ” Practice Location

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