Oden, Tara Rashidah

Oden, Tara Rashidah is an individual health care provider with primary practice located at 2500 Belle Chasse Highway , Gretna LA 70056-7127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Oden, Tara Rashidah can be contacted via phone (504) 392-3131.

Contact Information

Primary practice address
2500 Belle Chasse Highway Gretna LA 70056-7127
Phone: (504) 392-3131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.201965 Louisiana

Profile Details

NPI number 1245413707
LBN Legal business name Oden, Tara Rashidah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2007
Last updated Jun 3rd, 2011 - about 13 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 1245413707 NPPES
Mississippi MEDICAID 03471304
Mississippi MEDICAID 1505901

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