Provider Demographics
NPI:1508834607
Name:CARLIN, TAMARA R (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:R
Last Name:CARLIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4600 INVESTMENT DR
Mailing Address - Street 2:STE 300
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098
Mailing Address - Country:US
Mailing Address - Phone:248-267-5000
Mailing Address - Fax:248-267-5001
Practice Address - Street 1:4600 INVESTMENT DR
Practice Address - Street 2:STE 300
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098
Practice Address - Country:US
Practice Address - Phone:248-267-5000
Practice Address - Fax:248-267-5001
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301083585207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIM07130045Medicare PIN