Tahara, Robert

Tahara, Robert is an individual health care provider with primary practice located at 900 Chestnut Street Ext Suite A, Bradford PA 16701-2298. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Tahara, Robert can be contacted via phone (814) 368-8490.

Contact Information

Primary practice address
900 Chestnut Street Ext Suite A Bradford PA 16701-2298
Phone: (814) 368-8490
Fax: (814) 368-8041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD419351L Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD419351 Pennsylvania

Profile Details

NPI number 1902859069
LBN Legal business name Tahara, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 23rd, 2016 - about 9 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 1902859069 NPPES
Pennsylvania MEDICAID 0019079900001

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