| Kenneth P Tarr, DO | |
| 
					4700 Schaefer Rd., Dearborn, MI 48126-3698  | |
| (313) 581-2600 | |
| (313) 581-0228 | 
| Full Name | Kenneth P Tarr | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 4700 Schaefer Rd., Dearborn, Michigan | 
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902834070 | NPI | - | NPPES | 
| CA5318 | Other | MI | MEDICARE RR GROUP PIN | 
| 1876132 | Medicaid | MI | |
| 300073227 | Other | MI | RRMC | 
| 3156310454 | Other | MI | BCBS PIN # | 
| 1876123 | Medicaid | MI | |
| 310D460020 | Other | MI | BCBS GROUP PIN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101008688 (Michigan) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth P Tarr, DO 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (562) 499-6191  | Kenneth P Tarr, DO 4700 Schaefer Rd., Dearborn, MI 48126-3698 Ph: (313) 581-2600  | 
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660  | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490  | |
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660  | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000  | |
Joon K Kim, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660  | |
Sophia M Roumanis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660  | |
Michael F Zydeck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660  |