Provider Demographics
NPI:1588856504
Name:HALIM, TARIQ (MD)
Entity Type:Individual
Prefix:DR
First Name:TARIQ
Middle Name:
Last Name:HALIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7357 INTERNATIONAL PL STE 107
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8426
Mailing Address - Country:US
Mailing Address - Phone:941-500-9292
Mailing Address - Fax:941-500-9292
Practice Address - Street 1:7357 INTERNATIONAL PL STE 107
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-8426
Practice Address - Country:US
Practice Address - Phone:941-500-9292
Practice Address - Fax:941-500-9292
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA661812084P0800X
FLME1061232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry