Roque, Tara M
Roque, Tara M is an individual health care provider with primary practice located at 8600 Old Georgetown Rd , Bethesda MD 20814-1422. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Roque, Tara M can be contacted via phone (301) 896-3100.Contact Information
Primary practice address
8600 Old Georgetown Rd
Bethesda MD 20814-1422
Phone: (301) 896-3100
Fax: (301) 896-2393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D0061569 | Maryland |
Profile Details
| NPI number | 1750339917 |
|---|---|
| LBN Legal business name | Roque, Tara M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | May 12th, 2009 - about 15 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 | 1750339917 | NPPES |
| District of Columbia | MEDICAID | 040143800 | |
| District of Columbia | Other | 64460401 | |
| District of Columbia | MEDICAID | 415096100 | |
| District of Columbia | Other | 19460029 | |
| District of Columbia | MEDICAID | 405306100 |
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