Doctor Name: | DR. TAREQ BAGHAL |
NPI Number: | 1255332490 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301092820 |
Business Practice Address: | 6742 Park Ave Allen Park, MI - 481012034 |
Business Phone Number: | 3139282333 |
Business Fax Number: | |
Mailing Address: | 6742 Park Ave, ALLEN PARK |
State: | MI |
Postal Code: | 481012034 |
Phone Number: | 3139282333 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 11/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 4301092820 |
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. |