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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245413707 | NPPES |
| Mississippi | MEDICAID | 03471304 | |
| Mississippi | MEDICAID | 1505901 |
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