Individual
DR. TARA D BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 WOMANS WAY, BATON ROUGE, LA 70817
(225) 924-8338
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-4653
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01071367A
IN
207V00000X
Obstetrics & Gynecology Physician
21706
MS
207V00000X
Obstetrics & Gynecology Physician
MD.202920
LA
207VM0101X
Maternal & Fetal Medicine Physician
01071367A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD.202920
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002810
—
LA
05
—
201091790
—
IN
01
—
P01678758
MEDICARE RR
IN
Enumeration date
04/21/2008
Last updated
02/21/2023
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