Coles, Tara

Coles, Tara is an individual health care provider with primary practice located at 3800 Reservoir Rd Nw , Washington DC 20007-2113. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Coles, Tara can be contacted via phone (202) 444-8168.

Contact Information

Primary practice address
3800 Reservoir Rd Nw Washington DC 20007-2113
Phone: (202) 444-8168
Fax: (877) 303-1460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0063112 Maryland
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X D0063112 Maryland
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD046346 District of Columbia

Profile Details

NPI number 1164450631
LBN Legal business name Coles, Tara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Aug 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164450631 NPPES
Maryland MEDICAID 408270200

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