Provider Demographics
NPI:1710063672
Name:TIFFANY, KARA S (MD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:S
Last Name:TIFFANY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5425 E BELL RD
Mailing Address - Street 2:SUITE 131
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6007
Mailing Address - Country:US
Mailing Address - Phone:602-404-2020
Mailing Address - Fax:602-374-3177
Practice Address - Street 1:5425 E BELL RD
Practice Address - Street 2:SUITE 131
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6007
Practice Address - Country:US
Practice Address - Phone:602-404-2020
Practice Address - Fax:602-374-3177
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ26155174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE92610Medicare UPIN