Individual ProviderTariq SalemStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1890 N Revere Ct, Aurora, CO 80045(303) 724-6019PECOS EnrollmentBased on the most recent information from CMS, provider Tariq Salem is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 8:47 AM.Profile DetailsProvider ID1407545155Provider TypeIndividualFull NameSalem, TariqCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/8/2023Last Updated5/8/2023Contact InformationPractice LocationPractice Address1890 N Revere Ct, Aurora, CO 80045Phone(303) 724-6019FaxUnlisted FaxMailing LocationMailing Address1890 N Revere Ct, Aurora, CO 80045Phone(303) 724-6019FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer