MEDICARE: RENAE M TAYS 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	207L00000X	Anesthesiology Physician	25463	AZ
2	207L00000X	Anesthesiology Physician	G80048	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	050074473	OTHER		MEDICARE RAILROAD

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	:	1073583266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENAE M TAYS MD

Provider Business Mailing Address
First Line	:	645 E MISSOURI AVE
Second Line	:	STE 300
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1351
Country	:	US
Telephone Number	:	602-262-8900
Fax Number	:	602-262-8890

Provider Business Practice Location Address
First Line	:	521 PARNASSUS AVE FL 4
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2206
Country	:	US
Telephone Number	:	415-514-7952
Fax Number	:	415-353-9163

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	06/18/2025

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Directions to “ RENAE M TAYS MD” Practice Location

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