Individual
DR. PIMPA J TARA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8127 MERRILLVILLE RD, MERRILLVILLE, IN 46410-6158
(219) 769-4855
Mailing address
8127 MERRILLVILLE RD, MERRILLVILLE, IN 46410-6158
(219) 769-4855
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01031667
IN
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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