Wanna, Tanios Joseph

Wanna, Tanios Joseph is an individual health care provider with primary practice located at 4567 E 9Th Ave , Denver CO 80220-3908. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wanna, Tanios Joseph can be contacted via phone (303) 320-2455.

Contact Information

Primary practice address
4567 E 9Th Ave Denver CO 80220-3908
Phone: (303) 320-2455
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0055093 Colorado

Profile Details

NPI number 1336408350
LBN Legal business name Wanna, Tanios Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2012
Last updated Jul 28th, 2015 - about 11 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 1336408350 NPPES
Colorado MEDICAID 67029264

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