| Dr Fariha Tariq, MD | |
|
2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | |
| (703) 357-9707 | |
| (703) 357-9708 |
| Full Name | Dr Fariha Tariq |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2199 Old Bridge Rd, Lake Ridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023320926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101254684 (Virginia) | Primary |
| Entity Name | Perioperative And Transitional Medicine Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124495718 PECOS PAC ID: 7214245646 Enrollment ID: O20151003000008 |
| Entity Name | Primary Health Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770048704 PECOS PAC ID: 7810237740 Enrollment ID: O20190312003418 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fariha Tariq, MD Po Box 758963, Baltimore, MD 21275-8963 Ph: (804) 968-5700 | Dr Fariha Tariq, MD 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 Ph: (703) 357-9707 |
Mrs. Elizabeth Allan, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 | |
Nora Hassan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 | |
Dr. Colin Michael Grant, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 | |
Dr. Fetnat Faye Masri-imadi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 |