Provider Demographics
NPI:1871161141
Name:MUAMAR, TARIQ A (MD)
Entity type:Individual
Prefix:MR
First Name:TARIQ
Middle Name:A
Last Name:MUAMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 LENOX AVENUE NEW YORK NY 10037-1802
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037
Mailing Address - Country:US
Mailing Address - Phone:212-939-2291
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVENUE NEW YORK NY 10037-1802
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-939-2291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2023-04-01
Deactivation Date:2022-12-01
Deactivation Code:
Reactivation Date:2023-03-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program