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NPI Code Detail

MEDICARE: DR. SHRIKANT TAMHANE D.O.

MEDICARE:  DR. SHRIKANT  TAMHANE  D.O.
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
1207Q00000XFamily Medicine Physician20A7213CA

Other Identifiers

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

General Provider Information

NPI Number : 1497868251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHRIKANT TAMHANE D.O.
Provider Business Mailing Address
First Line : 125 N. GALE DRIVE UNIT 404
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211
Country : US
Telephone Number : 310-779-0515
Fax Number : 310-834-5619
Provider Business Practice Location Address
First Line : 23517 MAIN ST STE 103
Second Line :
City : CARSON
State : CA
Zip : 90745-5234
Country : US
Telephone Number : 310-834-5388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 05/15/2017

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Directions to “ DR. SHRIKANT TAMHANE D.O.” Practice Location

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