| Doctor Name: | MOHAMMED TARIQ VAKANI |
| NPI Number: | 1124032024 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 087007 |
| Business Practice Address: | 510 Ashmun St Suite 5 Sault Sainte Marie, MI - 497831964 |
| Business Phone Number: | 9066326013 |
| Business Fax Number: | 9066328618 |
| Mailing Address: | 4602 Dept, CAROL STREAM |
| State: | IL |
| Postal Code: | 601220021 |
| Phone Number: | 9062254821 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 04/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 087007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |