Provider Demographics
NPI:1841934452
Name:DUAH, TARA FAROUK (DMD)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:FAROUK
Last Name:DUAH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:FAROUK
Other - Last Name:APPIAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9401 MCKNIGHT RD STE 307
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6000
Mailing Address - Country:US
Mailing Address - Phone:412-364-1477
Mailing Address - Fax:
Practice Address - Street 1:9401 MCKNIGHT RD STE 307
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6000
Practice Address - Country:US
Practice Address - Phone:412-364-1477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-21
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063557122300000X
390200000X
PADS043939122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program