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NPI Code Detail

MEDICARE: TAMARA T. KURMANALIEVA MD

MEDICARE:   TAMARA T. KURMANALIEVA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA98504CA

General Provider Information

NPI Number : 1720291222
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA T. KURMANALIEVA MD
Provider Business Mailing Address
First Line : PO BOX 70180
Second Line :
City : RIVERSIDE
State : CA
Zip : 92513-0180
Country : US
Telephone Number : 951-354-3216
Fax Number :
Provider Business Practice Location Address
First Line : 9939 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3528
Country : US
Telephone Number : 951-687-8802
Fax Number : 951-687-2250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 06/29/2017

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Directions to “ TAMARA T. KURMANALIEVA MD” Practice Location

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