Individual
MONIKA TATARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3732 WIMBLETON DR, MOUNTAIN BRK, AL 35223-2730
(650) 996-1755
Mailing address
3732 WIMBLETON DR, MOUNTAIN BRK, AL 35223-2730
(650) 996-1755
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30928
AL
208D00000X
General Practice Physician
MD30928
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01056218
—
MS
01
—
051118242
BCBS
AL
01
—
051118248
BCBS
AL
01
—
051118249
BCBS
AL
01
—
051118250
BCBS
AL
01
—
051118251
BCBS
AL
01
—
051118252
BCBS
AL
01
—
051118253
BCBS
AL
01
—
051118254
BCBS
AL
01
—
051118255
BCBS
AL
01
—
051118256
BCBS
AL
01
—
102I308578
MEDICARE
AL
05
—
129391
—
AL
05
—
129392
—
AL
05
—
129395
—
AL
05
—
129398
—
AL
05
—
129399
—
AL
05
—
129400
—
AL
05
—
129402
—
AL
05
—
129403
—
AL
05
—
129404
—
AL
05
—
129405
—
AL
01
—
51124834
BLUE CROSS PMD
AL
01
—
51124835
BLUE CROSS PMD
AL
01
—
51124836
BLUE CROSS PMD
AL
01
—
Z17051
VIVA
AL
Enumeration date
05/15/2007
Last updated
09/08/2016
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