Organization Name: | PAT TANA, M.D., PA |
NPI Number: | 1992961148 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAT TANA (OWNER) |
Mailing Address: | 5400 Old Court Rd Suite 101 Randallstown |
State: | MD US |
Postal Code: | 211335100 |
Phone Number: | 4109221661 |
Fax Number: | 4109220365 |
NPI Enumeration Date: | 08/06/2008 |
NPI Last Update Date: | 01/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D21797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |