Individual
DR. TARA DEYAMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8900 COLUMBIA 100 PKWY, SUITE E, COLUMBIA, MD 21045-2336
(410) 997-6464
(410) 997-6867
Mailing address
8900 COLUMBIA 100 PKWY, SUITE E, COLUMBIA, MD 21045-2336
(410) 997-6464
(410) 997-6867
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0046242
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448300600
—
MD
Enumeration date
05/02/2006
Last updated
07/09/2012
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