Provider Demographics
NPI:1760860134
Name:SARIN, TARA (MD)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:SARIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6095 S FASHION BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-7377
Mailing Address - Country:US
Mailing Address - Phone:801-263-8700
Mailing Address - Fax:801-263-8693
Practice Address - Street 1:6095 S FASHION BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-7377
Practice Address - Country:US
Practice Address - Phone:801-263-8700
Practice Address - Fax:801-263-8693
Is Sole Proprietor?:No
Enumeration Date:2015-05-18
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR0006556390200000X
IN11018136A390200000X
UT11829184-1205207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program