Tara Deryavoush, D.O

NPI #1851718092 in Mount Clemens, Michigan

Provider Information

NPI Number: 1851718092
Entity Type: Individual
Name: Tara Deryavoush, D.O
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O
Enumeration Date: Mar 26, 2014
Last Updated: Jul 21, 2022

Practice Location

Address: 133 S MAIN ST
City: Mount Clemens
State: Michigan
ZIP Code: 48043-2308
Phone: (586) 468-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

Additional Practice Locations

15855 19 Mile Rd

Clinton Township, MI, 48038-3504

(586) 263-2950

17392 W 13 Mile Rd

Beverly Hills, MI, 48025-5438

(248) 646-8166

50505 Schoenherr Rd Ste 340

Shelby Township, MI, 48315-3140

(586) 731-8400

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