Individual
DR. RICHARD J TARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
24285 KARIM BLVD, NOVI, MI 48375-2952
(248) 536-0410
(248) 536-0420
Mailing address
PO BOX 72293, CLEVELAND, OH 44192-0002
(734) 462-3232
(248) 449-7103
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101005725
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114353555
—
MI
01
—
300H218760
BCBS
MI
01
—
505968
CARE CHOICES
MI
01
—
RA820037
M-CARE
MI
Enumeration date
05/03/2006
Last updated
09/15/2010
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