Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA DERYAVOUSH, D.O
ActiveTARA DERYAVOUSH, D.O is a Internal Medicine healthcare provider located in MOUNT CLEMENS, Michigan. NPI 1851718092 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · MOUNT CLEMENS, MI
Registration Details
- NPI Number
- 1851718092
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2014 (12.401543700107 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
5101020870 (MI)5101020870 (MI)
Practice Information
- Address
-
133 S MAIN STMOUNT CLEMENS, MI, 480432308Browse MI providers · Browse ZIP 48043
- Phone
- 5864681600
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in MOUNT CLEMENS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JEROME H FINKEL | M.D. | 1942206735 |
| RUTH A RYDSTEDT | MD | 1326045584 |
| PASQUALE B. IADEROSA | MD | 1962409094 |
| ROBERT A CHANG | MD | 1093712093 |
| DR. ABIMBOLA MODUPE OSOBAMIRO | M.D. | 1356335418 |
| DR. VASUDEVARAO MANDAVA | M.D | 1073501821 |
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.