Doctor Name: | MOHAMMAD TARIQ AGHA |
NPI Number: | 1265660856 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0116022337 |
Business Practice Address: | Department Of Pm&r 1 Hospital Drive, Dc046.00 Columbia, MO - 652120001 |
Business Phone Number: | 5738823101 |
Business Fax Number: | 5738844540 |
Mailing Address: | Department Of Pm&r, 1 Hospital Drive, Dc046.00 COLUMBIA |
State: | MO |
Postal Code: | 652120001 |
Phone Number: | 5738823101 |
Fax Number: | 5738844540 |
NPI Enumeration Date: | 06/23/2009 |
NPI Last Update Date: | 07/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116022337 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |