Active NPI
Nasreen Tariq, MD
- Internal Medicine Physician
- Ozark, AL
National Provider Identifier
1316190440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29056
- Practice address
- 212 Hospital Ave
Ozark, AL 36360-2038 - Phone
- (334) 774-1555
- Fax
- (334) 774-1505
- NPI assigned
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29056 | AL | Primary |
Addresses
Primary practice location
212 Hospital Ave
Ozark, AL 36360-2038
Mailing address
212 Hospital Ave
Ozark, AL 36360-2038
Phone (334) 774-1555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29056 | Other | AL | MEDICAL LICENSE |
| 29056 | Other | AL | CONTROLLED SUBSTANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29056 | AL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1316190440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 HOSPITAL AVE",
"city": "OZARK",
"state": "AL",
"postal_code": "363602038",
"telephone_number": "334-774-1555",
"fax_number": "334-774-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 HOSPITAL AVE",
"city": "OZARK",
"state": "AL",
"postal_code": "363602038",
"telephone_number": "334-774-1555",
"fax_number": "334-774-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARIQ",
"first_name": "NASREEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "29056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "29056",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE",
"identifier": "29056",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.