| Dr Tariq Shakoor, MD | |
|
1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Dr Tariq Shakoor |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1836 South Ave, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952300899 | NPI | - | NPPES |
| 0675854 | Medicaid | OH | |
| 100378150 | Medicaid | IN | |
| 64864721 | Medicaid | KY | |
| 110083909 | Other | OH | RAILROAD MEDICARE |
| 110086575 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 32055 (Wisconsin) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 35.048678 (Ohio) | Primary |
| Entity Name | Trihealth Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639512213 PECOS PAC ID: 6204077134 Enrollment ID: O20130718000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tariq Shakoor, MD 4685 Forest Ave, Cincinnati, OH 45212-3397 Ph: (513) 853-4722 | Dr Tariq Shakoor, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Mary K Frohnauer, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-775-2021 | |
Derek A Hupp, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Madeline Rita Fasen, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Allen C. Foster, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Padmavathi Mali, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Emily Catherine Dolan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Adie D Harbin Iii, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |