Physician Compare National (NPI:1417930165)

HEALTHCARE PROVIDER: REEMA TANEJA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1417930165
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739270125
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070815000018
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TANEJA
	Individual professional last name
Provider First Name	REEMA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1280 BOARDMAN CANFIELD RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	BOARDMAN
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	445124073
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360276
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HMHP ST ELIZABETH BOARDMAN HEALTH CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360064
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST ELIZABETH YOUNGSTOWN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360352
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SURGICAL HOSPITAL AT SOUTHWOODS
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360185
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SALEM REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	360055
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	STEWARD TRUMBULL MEMORIAL HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1417930165)

HEALTHCARE PROVIDER: REEMA TANEJA MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information