MR. TARIK SHARIF KHAN (NPI# 1710247416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710247416 |
| Entity Type | Individual |
| Full Name | MR. TARIK SHARIF KHAN |
| Credential | FNP |
| Practice Address |
401 E City Ave Suite 820 Bala Cynwyd PA 19004-1122 |
| Mailing Address |
12 Kings Oak Ln Philadelphia PA 19115-4009 |
| Practice Telephone | 2026697482 |
| Mailing Telephone | 2026697482 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN1023898 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 E CITY AVE SUITE 820 |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669666467 | Liberty Health Care Corporation | Internal Medicine | 401 E City Ave, Suite 820, Bala Cynwyd, PA 19004-1122 | 2007-09-05 |
| 1033591524 | Joan Dunleavy | Specialist | 401 E City Ave, Bala Cynwyd, PA 19004-1122 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740675008 | Melissa Gross | Nurse Practitioner | 301 E City Line Ave Ste 140, Bala Cynwyd, PA 19004-1714 | 2015-04-03 |
| 1881064368 | Jill Riaz | Nurse Practitioner | 2 Bala Plz Ste Il27, Bala Cynwyd, PA 19004-1508 | 2015-09-28 |
| 1033550991 | Jeanine Dunmore | Nurse Practitioner | 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004-1708 | 2013-07-08 |
| 1699042002 | Robert Allen Fink | Nurse Practitioner | 10 Presidential Blvd, Suite 124, Bala Cynwyd, PA 19004-1107 | 2011-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
Please comment or provide details below to improve the information on MR. TARIK SHARIF KHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.