Provider Demographics
NPI:1295755734
Name:ARIK, TALI HUSEYIN (MD)
Entity type:Individual
Prefix:
First Name:TALI
Middle Name:HUSEYIN
Last Name:ARIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3370 S NEVADA HIGHWAY 160 STE 10
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-5373
Mailing Address - Country:US
Mailing Address - Phone:775-467-3711
Mailing Address - Fax:775-467-3712
Practice Address - Street 1:2780 EUREKA WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0223
Practice Address - Country:US
Practice Address - Phone:530-229-0360
Practice Address - Fax:530-229-0856
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG66627207RC0000X
AZ13334207RC0000X
NV9600207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1295755734Medicaid
NVGC601ZMedicare PIN
NV1295755734Medicaid