Provider Demographics
NPI:1386638740
Name:PRINGLE, TAMARA RAUBITSCHEK (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:RAUBITSCHEK
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13700 ST FRANCIS BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-3222
Mailing Address - Country:US
Mailing Address - Phone:804-320-2483
Mailing Address - Fax:804-419-1860
Practice Address - Street 1:13700 ST FRANCIS BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3222
Practice Address - Country:US
Practice Address - Phone:804-320-2483
Practice Address - Fax:804-419-1860
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238415207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
181293OtherANTHEM
7467784OtherAETNA USHEALTH
2137971OtherMAMSI
10002838OtherSENTARA
1372520OtherCIGNA
410214OtherSOUTHERN HEALTH
VAC09633OtherGROUP PTAN
VA010242169Medicaid
541941044002OtherTRICARE
10002838OtherOPTIMA HEALTH
1024169OtherVA PREMIER
60218OtherCARENET
0000254222203OtherUNITED
008699S63Medicare PIN
10002838OtherOPTIMA HEALTH