Provider Demographics
NPI:1932160116
Name:TARM, FELIX (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:
Last Name:TARM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:FELIX
Other - Middle Name:
Other - Last Name:TARM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:909 N MAIZE RD
Mailing Address - Street 2:UNIT 736
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-4558
Mailing Address - Country:US
Mailing Address - Phone:316-650-0462
Mailing Address - Fax:
Practice Address - Street 1:909 N MAIZE RD
Practice Address - Street 2:UNIT 736
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-4558
Practice Address - Country:US
Practice Address - Phone:316-650-0462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15515207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSB91053Medicare UPIN
KS003867Medicare ID - Type Unspecified