Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jazeb T Tariq, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831779099

Jazeb T Tariq, MD is an Internal Medicine in Coram, New York. Qualified in 2021, 5 years ago. Practices with Sun River Health Inc, a 242-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

82 Middle Country Rd
Coram, NY 11727-4460
Phone: (516) 572-6637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 331869 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831779099
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sun River Health Inc. — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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