Tavarez, Tachira
Tavarez, Tachira is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurocritical Care, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Tavarez, Tachira can be contacted via phone (410) 955-5000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | 01087511A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01087511A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D92054 | Maryland |
Profile Details
| NPI number | 1952741613 |
|---|---|
| LBN Legal business name | Tavarez, Tachira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2013 |
| Last updated | Apr 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952741613 | NPPES |
| Indiana | Other | 090540857 | MEDICARE PTAN |
| Indiana | Other | D92054 | MEDICARE PTAN |
| Indiana | MEDICAID | 300063167 | MEDICARE PTAN |
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