| Tariq Ali Khan Md | |
|
14642 Newport Ave Suite 408 Tustin CA 92780-6057 | |
| (657) 218-9859 | |
| (657) 218-4023 |
| Full Name | Tariq Ali Khan Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 14642 Newport Ave, Tustin, California |
| Authorized Official Name and Position | Tariq Ali Khan (OWNER) |
| Authorized Official Contact | 6572189859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tariq Ali Khan Md 14642 Newport Ave Suite 408 Tustin CA 92780-6057 Ph: (657) 218-9859 | Tariq Ali Khan Md 14642 Newport Ave Suite 408 Tustin CA 92780-6057 Ph: (657) 218-9859 |
| NPI Number | 1033662101 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 02/23/2017 |
| Medicare PECOS PAC ID | 8022385418 |
|---|---|
| Medicare Enrollment ID | O20170607000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033662101 | NPI | - | NPPES |
| 1295925253 | Other | CA | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A112661 (California) | Primary |
| Provider Name | Tariq Ali Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295925253 PECOS PAC ID: 0143397190 Enrollment ID: I20110926000255 |
Families Together Of Orange County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 | |
Redhill Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1442 Irvine Blvd Ste 101, Tustin, CA 92780 Phone: 714-544-5007 | |
Prospice Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14742 Newport Avenue, Suite 203, Tustin, CA 92780 Phone: 949-825-6416 Fax: 951-537-6931 | |
Lin Wu Dba Oc Health Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 El Camino Real, Suite 100, Tustin, CA 92780 Phone: 949-228-8028 Fax: 949-438-0559 | |
Charles Kim Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14642 Newport Ave Ste 105, Tustin, CA 92780 Phone: 951-801-5566 Fax: 714-486-2309 | |
Assist Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1431 Warner Ave Ste A, Tustin, CA 92780 Phone: 509-945-9977 Fax: 509-873-0049 |