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General NPI Number Information
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NPI Number | 1366403537
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Entity Type | Individual
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Provider Name | CLAUDIA PEREZ-TAMAYO MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 1401 W 12TH AVE
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City | EMPORIA
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State | KS
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Zip | 66801-2570
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Country | US
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Telephone | 620-342-1117
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Fax | 855-774-5285
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Provider Business Mailing Address
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Address Line | PO BOX 256
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City | SALINA
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State | KS
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Zip | 67402-0256
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Country | US
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Telephone | 785-823-0633
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Fax | 785-823-0658
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 2009001463
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 04-22993
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License Number State | KS
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