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Contact Information

TARIQ SHAKOOR, MD
1836 SOUTH AVE
LA CROSSE, WI54601-5429
 Phone: 608-782-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for TARIQ SHAKOOR · (Male)

NPI # 1952300899
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2005
Last updated 05/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35.048678
  • WI License # 32055
  • IN Medicaid 100378150
  • KY Medicaid 64864721
  • OH Medicaid 0675854
  • IN Other 110086575 RAILROAD MEDICARE
  • OH Other 110083909 RAILROAD MEDICARE
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
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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