Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | D0063112 | MD |
N | 207RH0002X | Hospice and Palliative Medicine | D0063112 | MD |
Y | 207RH0002X | Hospice and Palliative Medicine | MD046346 | DC |
NPI | 1164450631 |
---|---|
Provider Name | Tara Coles |
First Address | Washington, DC 20007-2113 |
Second Address | Washington, DC 20007-2113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 13/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
408270200 | (05) | MD |
I131023 | (02) | MD |