Tadros, Mary M

Tadros, Mary M is an individual health care provider with primary practice located at 421 Chestnut St , Evansville IN 47713-1227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Tadros, Mary M can be contacted via phone (812) 426-6638.

Contact Information

Primary practice address
421 Chestnut St Evansville IN 47713-1227
Phone: (812) 426-6638
Fax: (812) 450-8109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01045508A Indiana

Profile Details

NPI number 1164425591
LBN Legal business name Tadros, Mary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 9th, 2018 - about 7 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 1164425591 NPPES
Indiana MEDICAID 200107920
Indiana Other 000000067633

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