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NPI Code Detail

MEDICARE: DR. BASHIR D TARRAF OD

MEDICARE:  DR. BASHIR D TARRAF  OD
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
1152W00000XOptometrist008913NY
2152W00000XOptometrist4901005413MI

General Provider Information

NPI Number : 1831758358
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BASHIR D TARRAF OD
Provider Business Mailing Address
First Line : 1950 OLD GALLOWS RD STE 520
Second Line :
City : VIENNA
State : VA
Zip : 22182-3970
Country : US
Telephone Number : 703-847-8899
Fax Number : 571-223-6780
Provider Business Practice Location Address
First Line : 15120 MICHIGAN AVE STE D
Second Line :
City : DEARBORN
State : MI
Zip : 48126-3768
Country : US
Telephone Number : 313-722-4702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2019
Last Update Date : 11/13/2023

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