Tara Marie Otto in Eden Prairie - Diagnostic Radiology
Tara Marie Otto - NPI 1356509038
Tara Marie Otto is a Diagnostic Radiology in Eden Prairie, Minnesota. Tara Marie Otto practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Tara Marie Otto is 1356509038. The last update date is 2018-06-21.
Tara Marie Otto's current location address is 11995 Singletree Ln, Eden Prairie, Minnesota. You can contact this provider via phone number 9525951301 and fax number 6122944903. The mailing address for Tara Marie Otto is 11995 Singletree Ln, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Marie Otto |
|---|---|
| Address | 11995 Singletree Ln, Eden Prairie, Minnesota |
| Phone Number | 9525951301 |
| Fax Number | 6122944903 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356509038 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 11995 Singletree Ln |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553445347 |
| Phone Number | 9525951301 |
| Fax Number | 6122944903 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | ME113202 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tara Marie Otto by the Centers for Medicare & Medicaid Services?
The Tara Marie Otto has been assigned the NPI (National Provider Identifier) 1356509038 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tara Marie Otto's facilities are situated?
The facilities of Tara Marie Otto are physically located at the following address: 11995 Singletree Ln, Eden Prairie, MN, 553445347.
What is Tara Marie Otto's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tara Marie Otto's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did Tara Marie Otto receive its 1356509038 assignment from the Centers for Medicare & Medicaid Services?
The Tara Marie Otto was assigned its 1356509038 on 2008-05-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Tara Marie Otto, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tara Marie Otto, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-06-21.