Provider Demographics
NPI:1386780641
Name:TARVER-CARR, MICHELLE ELAINE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ELAINE
Last Name:TARVER-CARR
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:ELAINE
Other - Last Name:TARVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:10214 DOTTYS WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3884
Mailing Address - Country:US
Mailing Address - Phone:410-997-1327
Mailing Address - Fax:
Practice Address - Street 1:10903 NEW HAMPSHIRE AVE
Practice Address - Street 2:BUILDING 66 ROOM 4202
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1058
Practice Address - Country:US
Practice Address - Phone:301-796-6884
Practice Address - Fax:301-847-8140
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0065907207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology