Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 31311 | TN |
NPI | 1003883588 |
---|---|
Provider Name | Dr. Tara N Hamada |
First Address | Franklin, TN 37064-1306 |
Second Address | Franklin, TN 37064-1306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 01/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1503976 | (05) | TN |
H03378 | (02) | TN |