Tanna, Nipul

Tanna, Nipul is an individual health care provider with primary practice located at 240 S. 40Th Street , Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Tanna, Nipul can be contacted via phone (215) 898-8965.

Contact Information

Primary practice address
240 S. 40Th Street Philadelphia PA 19104
Phone: (215) 898-8965
Fax: (215) 898-1687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS027460L Pennsylvania
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS027460L Pennsylvania

Profile Details

NPI number 1467667105
LBN Legal business name Tanna, Nipul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Sep 22nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467667105 NPPES
Pennsylvania MEDICAID 103552566

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