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NPI Code Detail

MEDICARE: DR. SHAHLA F TARAR M.D.

MEDICARE: DR. SHAHLA F TARAR 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
1207Q00000XFamily Medicine Physician19726NE

General Provider Information

NPI Number : 1881632586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAHLA F TARAR M.D.
Provider Business Mailing Address
First Line : 1108 S 84TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68124-1323
Country : US
Telephone Number : 402-669-3329
Fax Number :
Provider Business Practice Location Address
First Line : 100 INDIAN HILLS DR
Second Line :
City : MACY
State : NE
Zip : 68039-3023
Country : US
Telephone Number : 402-669-3329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 02/01/2012

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