Provider Demographics
NPI:1255787271
Name:ZAUHAR, TARA (MS, RDN, LD, CSSD)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:ZAUHAR
Suffix:
Gender:F
Credentials:MS, RDN, LD, CSSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12735 42ND PL N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55442-2350
Mailing Address - Country:US
Mailing Address - Phone:320-808-5353
Mailing Address - Fax:
Practice Address - Street 1:8120 PENN AVE S STE 252
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-1365
Practice Address - Country:US
Practice Address - Phone:320-808-5353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3692133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered