Firozi, Mohammad Tarik Alam
Firozi, Mohammad Tarik Alam is an sole proprietor health care provider with primary practice located at 763 S New Ballas Rd Suite 265, Saint Louis MO 63141-8712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Firozi, Mohammad Tarik Alam can be contacted via phone (314) 292-7305.Contact Information
Primary practice address
763 S New Ballas Rd Suite 265
Saint Louis MO 63141-8712
Phone: (314) 292-7305
Fax: (314) 292-7304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036114762 | Illinois |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2008030945 | Missouri |
Profile Details
| NPI number | 1962481648 |
|---|---|
| LBN Legal business name | Firozi, Mohammad Tarik Alam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Dec 9th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962481648 | NPPES |
| Oklahoma | MEDICAID | 200612520A |
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