Provider Demographics
NPI:1801182514
Name:ZAMAN, TARIQUE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:TARIQUE
Middle Name:
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 LURTING AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1314
Mailing Address - Country:US
Mailing Address - Phone:702-595-2505
Mailing Address - Fax:
Practice Address - Street 1:4320 SEMINARY RD OFC
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1535
Practice Address - Country:US
Practice Address - Phone:702-595-2505
Practice Address - Fax:877-991-6420
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101257086208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist