Provider Demographics
NPI:1053767517
Name:TARAU, MARIUS CALIN (MD)
Entity type:Individual
Prefix:DR
First Name:MARIUS
Middle Name:CALIN
Last Name:TARAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:950 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2703
Mailing Address - Country:US
Mailing Address - Phone:816-881-6609
Mailing Address - Fax:816-881-6616
Practice Address - Street 1:950 E 21ST ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2703
Practice Address - Country:US
Practice Address - Phone:816-881-6609
Practice Address - Fax:816-881-6616
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011005790207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology