Doctor Name: | TARA D BENJAMIN |
NPI Number: | 1427222413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 21706 |
Business Practice Address: | 550 University Blvd Indianapolis, IN - 462025149 |
Business Phone Number: | 3179448182 |
Business Fax Number: | |
Mailing Address: | 8620 Lake Clearwater Ln Apt 135, INDIANAPOLIS |
State: | IN |
Postal Code: | 462407724 |
Phone Number: | 5049577708 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2008 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 21706 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |