Tariq Kutob, MD | |
1551 Main St, Dunedin, FL 34698-4650 | |
(727) 733-5100 | |
(727) 498-2401 |
Full Name | Tariq Kutob |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1551 Main St, Dunedin, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497844120 | NPI | - | NPPES |
115027600 | Medicaid | FL | |
ME156735 | Other | FL | FLORIDA MEDICAL LICENSE |
4301060391 | Other | MI | BOARD OF MEDICINE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME156735 (Florida) | Primary |
207Q00000X | Family Medicine | 4301060391 (Michigan) | Secondary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Mailing Address | Practice Location Address |
---|---|
Tariq Kutob, MD 1551 Main St, Dunedin, FL 34698-4650 Ph: (727) 733-5100 | Tariq Kutob, MD 1551 Main St, Dunedin, FL 34698-4650 Ph: (727) 733-5100 |
Dr. Mehul K Patel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2323 Curlew Rd Ste 6e, Dunedin, FL 34698 Phone: 727-789-2922 Fax: 727-787-4288 | |
Tricia Vu Tran, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Patricia Ave, Dunedin, FL 34698 Phone: 727-331-8740 Fax: 727-331-8744 | |
C Bruce Cochrane, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 646 Virginia St. 421, Dunedin, FL 34698 Phone: 727-734-6932 Fax: 727-734-4516 | |
Dr. Douglas L. Jones, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 646 Virginia St, Suite 204, Dunedin, FL 34698 Phone: 727-736-3212 Fax: 813-635-2635 | |
Dr. Leonard Jay Dunn, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Main St, Dunedin, FL 34698 Phone: 727-692-5023 Fax: 727-692-5023 | |
Raymond D Hansen Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1972 Bayshore Blvd, Dunedin, FL 34698 Phone: 727-736-2513 Fax: 727-734-4701 | |
Izabela Kowal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1460 Beltrees St Ste 1, Dunedin, FL 34698 Phone: 727-736-5120 Fax: 727-734-3653 |