MEDICARE: AANCHAL TANEJA 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	2084N0400X	Neurology Physician	N7973	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BP1-0026352	OTHER		INSTITUTIONAL PERMIT

General Provider Information

NPI Number	:	1174725667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AANCHAL TANEJA MD

Provider Business Mailing Address
First Line	:	8198 WALNUT HILL LN STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4316
Country	:	US
Telephone Number	:	214-345-4440
Fax Number	:	214-345-4286

Provider Business Practice Location Address
First Line	:	8220 WALNUT HILL LN STE 516
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4433
Country	:	US
Telephone Number	:	469-994-1817
Fax Number	:	469-444-6054

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

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	01/12/2021

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Directions to “ AANCHAL TANEJA MD” Practice Location

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