Powell, Tanisha

Powell, Tanisha is an individual health care provider with primary practice located at 4C North Ave Ste 400 , Bel Air MD 21014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Powell, Tanisha can be contacted via phone (410) 638-0239.

Contact Information

Primary practice address
4C North Ave Ste 400 Bel Air MD 21014
Fax: (410) 638-0282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15883 Nevada

Profile Details

NPI number 1407110364
LBN Legal business name Powell, Tanisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Sep 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407110364 NPPES
Nevada MEDICAID 1407110364

Popular Providers