Tariq Mirza in Modesto - Medical Genetics, Ph.d. Medical Genetics
Tariq Mirza - NPI 1639195654
Tariq Mirza is a Medical Genetics, Ph.d. Medical Genetics in Modesto, California. Tariq Mirza practices all healthcare services and medical treatments related to Medical Genetics, Ph.d. Medical Genetics. The NPI Number for Tariq Mirza is 1639195654. The last update date is 2007-07-08.
Tariq Mirza's current location address is 3609 Oakdale Rd, Modesto, California. You can contact this provider via phone number 2095518888 and fax number 2095510412. The mailing address for Tariq Mirza is 3609 Oakdale Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tariq Mirza |
|---|---|
| Address | 3609 Oakdale Rd, Modesto, California |
| Phone Number | 2095518888 |
| Fax Number | 2095510412 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639195654 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3609 Oakdale Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953570718 |
| Phone Number | 2095518888 |
| Fax Number | 2095510412 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Genetics, Ph.d. Medical Genetics |
|---|---|
| Taxonomy | 170100000X |
| Licence No | A84987 |
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Definition: A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
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What is the Tariq Mirza's 1639195654?
The Tariq Mirza's NPI (National Provider Identifier) Number is 1639195654. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tariq Mirza located?
The Tariq Mirza is located at 3609 Oakdale Rd, Modesto, CA 953570718.
What is Tariq Mirza's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tariq Mirza's specialized field of practice is Medical Genetics, Ph.d. Medical Genetics, and the corresponding taxonomy code that categorizes this area of specialization is 170100000X.
On what date did the Tariq Mirza receive its 1639195654 assignment from the Centers for Medicare & Medicaid Services?
The Tariq Mirza was assigned its 1639195654 by the Centers for Medicare & Medicaid Services on 2006-07-14.
When was the information pertaining to Tariq Mirza most recently updated or revised?
The details related to Tariq Mirza, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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