Provider Demographics
NPI:1144586181
Name:TARIQ, KHURRAM BILAL (MD)
Entity Type:Individual
Prefix:
First Name:KHURRAM
Middle Name:BILAL
Last Name:TARIQ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:336 DEERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5008
Mailing Address - Country:US
Mailing Address - Phone:828-262-9168
Mailing Address - Fax:828-262-4103
Practice Address - Street 1:338 DEERFIELD ROAD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607
Practice Address - Country:US
Practice Address - Phone:828-262-4332
Practice Address - Fax:828-265-5514
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2019-00361207RH0003X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology