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Contact Information

MANZOOR A TARIQ, MD
1071 AIRPORT ROAD
FESTUS, MO63028
 Phone: 636-931-7111
 Fax: 636-937-7486
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MANZOOR A TARIQ · (Male)

NPI Number 1134237332
Status Active
Credentials MD
Entity Individual
Enumeration date 08/28/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 100167
Hospital affiliation(s)
  • DES PERES HOSPITAL - (Acute Care)
    2345 DOUGHERTY FERRY ROAD
    SAINT LOUIS, MO 63122
  • JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care)
    1400 HIGHWAY 61 SOUTH
    CRYSTAL CITY, MO 63019
  • ST ALEXIUS HOSPITAL - (Acute Care)
    3933 S BROADWAY
    SAINT LOUIS, MO 63118
  • WASHINGTON COUNTY MEMORIAL HOSPITAL - (Critical Access)
    300 HEALTH WAY
    POTOSI, MO 63664
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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