Provider Demographics
NPI:1316327620
Name:CHUKIR, TARIQ (MD)
Entity type:Individual
Prefix:
First Name:TARIQ
Middle Name:
Last Name:CHUKIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1484 FIRST AVENUE, 2ND FLOOR
Mailing Address - Street 2:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075
Mailing Address - Country:US
Mailing Address - Phone:212-746-7077
Mailing Address - Fax:212-746-7094
Practice Address - Street 1:1484 FIRST AVENUE, 2ND FLOOR
Practice Address - Street 2:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075
Practice Address - Country:US
Practice Address - Phone:212-746-7077
Practice Address - Fax:212-746-7094
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2017-02-08
Deactivation Date:2016-01-19
Deactivation Code:
Reactivation Date:2017-02-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program