Individual
INDRA TAMBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 TREMONT ST, SUITE 3, 2ND FLOOR, NORTH TONAWANDA, NY 14120-6135
(716) 690-2367
(716) 690-2419
Mailing address
415 TREMONT ST, SUITE 3, NORTH TONAWANDA, NY 14120-6135
(716) 690-2367
(716) 690-2419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1472781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010177201
UNIVERA
NY
01
—
000500973001
BLUE CROSS
NY
05
—
00686939
—
NY
Enumeration date
02/23/2006
Last updated
09/24/2014
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