Individual
TAMARA KERMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
315 N DAN JONES RD STE 150, PLAINFIELD, IN 46168-2848
(317) 781-7328
(317) 781-7216
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201327120
—
IN
Enumeration date
06/29/2012
Last updated
03/23/2026
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