Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUDY HARTONO TAAREA, MD
ActiveDR. RUDY HARTONO TAAREA, MD is a 2083A0100X healthcare provider located in OPP, Alabama. NPI 1336121862 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · OPP, AL
Registration Details
- NPI Number
- 1336121862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2005 (20.818554422561 yrs)
- Last Updated
- Nov 20, 2012
- License
-
AL19483 (AL)
Practice Information
- Address
-
511 BRANTLEY STOPP, AL, 364671702Browse AL providers · Browse ZIP 36467
- Phone
- 3344933240
- Primary Specialty
-
2083A0100X
2083A0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.