Tanna, Manish
Tanna, Manish is an individual health care provider with primary practice located at 601 W Golf Rd Ste 105 , Mount Prospect IL 60056-4276. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Tanna, Manish can be contacted via phone (847) 439-8780.Contact Information
Primary practice address
601 W Golf Rd Ste 105
Mount Prospect IL 60056-4276
Phone: (847) 439-8780
Fax: (847) 439-8940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036096147 | Illinois |
Profile Details
| NPI number | 1821096470 |
|---|---|
| LBN Legal business name | Tanna, Manish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Feb 1st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821096470 | NPPES |
| Illinois | Other | 1616108 | BCBS |
| Illinois | MEDICAID | 036096147 | BCBS |
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