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1962604892

NPI Code Detail

MEDICARE: TAREK S HAMIEH MD

MEDICARE: TAREK S HAMIEH MD

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	35089729	OH
2	207R00000X	Internal Medicine Physician	51130	MN

General Provider Information

NPI Number	:	1962604892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAREK S HAMIEH MD

Provider Business Mailing Address
First Line	:	2800 CAMPUS DR STE 10
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55441-2669
Country	:	US
Telephone Number	:	763-398-4400
Fax Number	:	651-254-1553

Provider Business Practice Location Address
First Line	:	3366 OAKDALE AVE N STE 401
Second Line	:
City	:	ROBBINSDALE
State	:	MN
Zip	:	55422-2986
Country	:	US
Telephone Number	:	763-520-2940
Fax Number	:

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	11/30/2023

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Directions to “ TAREK S HAMIEH MD” Practice Location

Language	Start Address	Practice Location

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