Individual
THERESA THARAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 NW 14TH ST FL 5, MIAMI, FL 33136-2107
(305) 243-1349
Mailing address
660 SOUTH EUCLID AVE, OTOLARYNGOLOGY HEAD AND NECK SURGERY, ST LOUIS, MO 63110
(314) 362-5000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2019020210
MO
207Y00000X
Otolaryngology Physician
Primary
ME181690
FL
Other
Enumeration date
06/22/2019
Last updated
05/18/2026
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