Individual
DR. TARA ATTA
Active
Individual
DR. TARA ATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036112076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112076
—
IL
01
—
10115504
BLUE CROSS
IL
01
—
CB0709
RRMEDICARE
GA
01
—
P00461924
RRMEDICARE
GA
Enumeration date
09/27/2005
Last updated
04/02/2021
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