Provider Demographics
NPI:1053016055
Name:LIAQAT, TALHA (MBBS)
Entity type:Individual
Prefix:
First Name:TALHA
Middle Name:
Last Name:LIAQAT
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 FRANK STREET DUNMORE APT 3
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18512
Mailing Address - Country:US
Mailing Address - Phone:570-604-3792
Mailing Address - Fax:570-343-4800
Practice Address - Street 1:501 SOUTH WASHINGTON AVE THE WRIGHT CENTER FOR COMMUNIT
Practice Address - Street 2:SUITE 1000
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505
Practice Address - Country:US
Practice Address - Phone:570-591-5153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program