Individual
DR. TARA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56-119 PUALALEA ST, KAHUKU, HI 96731
(808) 293-9216
Mailing address
56-119 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-20482
HI
207R00000X
Internal Medicine Physician
PG188706
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2016
Last updated
03/30/2020
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