Zeeshan Tarique, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301091464 Issued in MI

Practice address

15555 Northline Rd
Southgate, MI 48195-1896

Phone

(734) 285-3090

Fax

(734) 285-3095

NPI assigned

Sep 15, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Zeeshan Bano Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ztarique220868@direct.hfhs.org
• Direct secure messaging: zeeshan.tarique@pediatricandadolescentcenter.direct.emds.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Dinesh Nayak, MD, P.C.

  dba Pediatric & Adolescent Center

  • Pediatrics Physician
  • Southgate, MI
  • NPI 1235284233
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456012800000",
    "number": "1770779589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15555 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951896",
            "telephone_number": "734-285-3090",
            "fax_number": "734-285-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15555 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951896",
            "telephone_number": "734-285-3090",
            "fax_number": "734-285-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIQUE",
        "first_name": "ZEESHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2016-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301091464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZEESHAN",
            "last_name": "BANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chad Talo
• Joshua Tantanella
• Emily Tarchala, MSW
• Erik Richard Tarcia
• Emily Jane Tardiff, FNP-C
• Alicia Elizabeth Tarjeft, MSW
• Inga Inez Taylor
• Joy Taylor
• Karima Nataki Taylor, CPR-M
• Theonica Taylor, SST

• Pediatrics Physician in Southgate, MI
• Providers in Southgate, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.