Individual
MRS. TARA A GEHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7634 W CENTRAL AVE, TOLEDO, OH 43617-1526
(567) 585-0460
(567) 585-0461
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
(567) 585-0460
(567) 585-0461
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.002589
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526589
ANTHEM
OH
01
—
P00835876
RRMC
OH
Enumeration date
03/15/2007
Last updated
11/03/2023
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