Hannon, Tamara S

Hannon, Tamara S is an individual health care provider with primary practice located at 705 Riley Hospital Dr Ri 5960, Indianapolis IN 46202-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Hannon, Tamara S can be contacted via phone (317) 944-3889.

Contact Information

Primary practice address
705 Riley Hospital Dr Ri 5960 Indianapolis IN 46202-5109
Phone: (317) 944-3889
Fax: (317) 944-3882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 01068662 Indiana

Profile Details

NPI number 1750354510
LBN Legal business name Hannon, Tamara S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jun 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750354510 NPPES
Indiana MEDICAID 200372190

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