MEDICARE: BEATA ANNA TARATUTA M.D.

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
1	207R00000X	Internal Medicine Physician	9441	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093761512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATA ANNA TARATUTA M.D.

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD.
Second Line	:	STE 600
City	:	NASHVILLE
State	:	TN
Zip	:	37205-7528
Country	:	US
Telephone Number	:	629-224-1618
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 W CRAIG RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130
Country	:	US
Telephone Number	:	725-293-5350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	08/23/2023

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