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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1164425591 | NPPES |
| Indiana | MEDICAID | 200107920 | |
| Indiana | Other | 000000067633 |
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