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NPI Code Detail

MEDICARE: MARYAM TARAR DO

MEDICARE: MARYAM TARAR DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1821713918
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYAM TARAR DO
Provider Business Mailing Address
First Line : 1230 BAXTER ST
Second Line :
City : ATHENS
State : GA
Zip : 30606-3712
Country : US
Telephone Number : 706-389-3860
Fax Number : 706-389-3861
Provider Business Practice Location Address
First Line : 400 LEE ST N
Second Line :
City : LEWISBURG
State : WV
Zip : 24901-1274
Country : US
Telephone Number : 800-356-7836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2022
Last Update Date : 03/28/2023

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Directions to “ MARYAM TARAR DO” Practice Location

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