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Contact Information

RAYHAN A TARIQ, MD
1002 JEFFERSON STREET
SUITE 300
LAUREL, MS39440-4306
 Phone: 601-425-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

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

NPI Number 1508216680
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2016
Last updated 08/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 27726
  • PA License # MT211207
  • UT License # 11550462-1205
Hospital affiliation(s)
  • SOUTH CENTRAL REG MED CTR - (Acute Care)
    1220 JEFFERSON ST BOX 607
    LAUREL, MS 39440
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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