Mendez, Tamara
Mendez, Tamara is an individual health care provider with primary practice located at 2130 W Sycamore St Ste 260 , Kokomo IN 46901-6460. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mendez, Tamara can be contacted via phone (765) 236-8457.Contact Information
Primary practice address
2130 W Sycamore St Ste 260
Kokomo IN 46901-6460
Phone: (765) 236-8457
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01060787A | Indiana |
Profile Details
| NPI number | 1457340804 |
|---|---|
| LBN Legal business name | Mendez, Tamara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Apr 6th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457340804 | NPPES |
| Indiana | MEDICAID | 200519800 |
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