Individual
DR. TARA M HATA
Active
Individual
DR. TARA M HATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-096554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078790
—
IA
01
—
44809
WELLMARK BCBS
IA
Enumeration date
10/03/2005
Last updated
05/02/2013
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