Mudambi, Tara R

Mudambi, Tara R is an sole proprietor health care provider with primary practice located at 201 Seton Pkwy , Round Rock TX 78665-8000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mudambi, Tara R can be contacted via phone (512) 324-4083.

Contact Information

Primary practice address
201 Seton Pkwy Round Rock TX 78665-8000
Phone: (512) 324-4083
Fax: (512) 406-7398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36258 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q1863 Texas

Profile Details

NPI number 1902102395
LBN Legal business name Mudambi, Tara R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2011
Last updated Mar 7th, 2023 - about 2 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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