Smith, Tamara Susan

Smith, Tamara Susan is an individual health care provider with primary practice located at 14535 John Marshall Hwy, Suite 212 , Gainesville VA 20155-4025. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Smith, Tamara Susan can be contacted via phone (571) 248-0245.

Contact Information

Primary practice address
14535 John Marshall Hwy, Suite 212 Gainesville VA 20155-4025
Phone: (571) 248-0245
Fax: (571) 248-0241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101243112 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21653 West Virginia
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0101243112 Virginia

Profile Details

NPI number 1225127129
LBN Legal business name Smith, Tamara Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 19th, 2024 - about 2 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 1225127129 NPPES
Virginia MEDICAID 30016040950001
Virginia MEDICAID 1225127129

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