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NPI Code Detail

MEDICARE: TARA SAMRA MD

MEDICARE: TARA SAMRA 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
1207R00000XInternal Medicine PhysicianR80835AZ
2207N00000XDermatology PhysicianR80835AZ

General Provider Information

NPI Number : 1790539054
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA SAMRA MD
Provider Business Mailing Address
First Line : 7165 N PIMA CANYON DR
Second Line :
City : TUCSON
State : AZ
Zip : 85718-1407
Country : US
Telephone Number : 520-694-8888
Fax Number : 520-874-7102
Provider Business Practice Location Address
First Line : 7165 N PIMA CANYON DR
Second Line :
City : TUCSON
State : AZ
Zip : 85718-1407
Country : US
Telephone Number : 520-694-8888
Fax Number : 520-874-7102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 06/26/2025

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Directions to “ TARA SAMRA MD” Practice Location

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