TARIQ AHMED

OLLA, LA
NPI1518076785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
(Licence: LA  12117R)
Enumeration Date2006-08-30
Last Update Date2019-05-10
Business Address
TARIQ AHMED MD
1049 N PINE RD
OLLA, LA 71465-4826
Phone number: 318-495-0755
Mailing Address
TARIQ AHMED MD
1102 N PINE RD
OLLA, LA 71465-4804
Phone number: 318-495-3131