Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tatyan Mila Clarke, MD

Individual provider Surgery Physician · NPI 1811177330

Tatyan Mila Clarke, MD is a General Surgery in Philadelphia, Pennsylvania. Graduated from University of Southern California Keck School of Medicine in 2004, 22 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Florida and Pennsylvania.

Years since qualifying
22
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA, FL, PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St 4th Fl Parkinson Pavilion
Philadelphia, PA 19140-5103
Phone: (215) 707-3133
Fax: (215) 707-3945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD447082 (PA)
Surgery Physician Taxonomy 208600000X · Licence A94539 (CA)
Surgery Physician Taxonomy 208600000X · Licence ME109632 (FL)

Record details

NPI number1811177330
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2007
Last updated in NPPESMarch 21, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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