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Tariq Ali Islam, MD
Student in an Organized Health Care Education/Training Program in Vancouver, Washington
NPI 1407607773

Tariq Ali Islam is a Student in an Organized Health Care Education/Training Program based in Vancouver, WA. Tariq Ali Islam practices in Vancouver, WA and has the professional credentials of MD. The NPI Number for Tariq Ali Islam is 1407607773 and holds a License No. (Washington).

The current practice location address for Tariq Ali Islam is 100 E 33Rd St Ste 100, Vancouver, WA and can be reached out via phone at 360-514-7550 and via fax at 360-514-7587.

Location: 100 E 33Rd St Ste 100, Vancouver, WA, 98663-2776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407607773
Provider Name
Tariq Ali Islam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 E 33Rd St Ste 100, Vancouver, WA, 98663-2776
Phone Number
360-514-7550
Fax Number
360-514-7587
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
100 E 33Rd St Ste 100
City
Vancouver
State
Washington
Zip
98663-2776
Phone Number
360-514-7550
Fax Number
360-514-7587
person
Provider Business Mailing Address Details
Address
100 E 33Rd St Ste 100
City
Vancouver
State
Washington
Zip
98663-2776
Phone Number
360-514-7550
Fax Number
360-514-7587
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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