Provider Demographics
NPI:1548873144
Name:HARRIS-ROBINSON, TAMARA SAMATHA
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:SAMATHA
Last Name:HARRIS-ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2248 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4056
Mailing Address - Country:US
Mailing Address - Phone:412-512-6462
Mailing Address - Fax:
Practice Address - Street 1:2248 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4056
Practice Address - Country:US
Practice Address - Phone:412-512-6462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA49533601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health