MEDICARE: TANYA BROWN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	G87823	CA
2	207R00000X	Internal Medicine Physician	175935	NY
3	208600000X	Surgery Physician	G87823	CA
4	208D00000X	General Practice Physician	G87823	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467498758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA BROWN MD

Provider Business Mailing Address
First Line	:	8953 GARDEN HWY
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-9411
Country	:	US
Telephone Number	:	530-680-8306
Fax Number	:	530-680-8306

Provider Business Practice Location Address
First Line	:	9792 LIVE OAK BLVD STE B
Second Line	:
City	:	LIVE OAK
State	:	CA
Zip	:	95953-2381
Country	:	US
Telephone Number	:	530-680-8306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	01/09/2023

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Directions to “ TANYA BROWN MD” Practice Location

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