Provider Demographics
NPI:1457954638
Name:NAKHOODA, TARIQ I (MD, MSHI)
Entity Type:Individual
Prefix:DR
First Name:TARIQ
Middle Name:I
Last Name:NAKHOODA
Suffix:
Gender:M
Credentials:MD, MSHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 OLA LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-1512
Mailing Address - Country:US
Mailing Address - Phone:214-799-4199
Mailing Address - Fax:
Practice Address - Street 1:503 OLA LN
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-1512
Practice Address - Country:US
Practice Address - Phone:214-799-4199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor