Most Relevant Information
Provider Data
| NPI Number: | 1003436486 |
| Provider Name: | TARIQ ELAGAMY DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 213ES0103X |
| Specialty: | Podiatrist |
| License Number: | 5901400497 |
Most Important Dates
| Enumeration Date: | 04/25/2020 |
| Last Updated: | 06/05/2023 |
Provider Practice Location
29433 RYAN RD
WARREN
MI
480922203
Practice Location Phone/Fax
| Phone: | 5965740500 |
| Fax: |
Provider Mailing Location
29433 RYAN RD
WARREN
MI
480922203
Provider Mailing Phone/Fax
| Phone: | 5865740500 |
| Fax: |
Suggested EMR
Podiatry EMR