Hanjan, Tara

Hanjan, Tara is an individual health care provider with primary practice located at 35800 Bob Hope Dr Suite 150A, Rancho Mirage CA 92270-1739. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Hanjan, Tara can be contacted via phone (760) 770-1920.

Contact Information

Primary practice address
35800 Bob Hope Dr Suite 150A Rancho Mirage CA 92270-1739
Phone: (760) 770-1920
Fax: (760) 324-0848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 227925-1 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 227925-1 New York

Profile Details

NPI number 1750326427
LBN Legal business name Hanjan, Tara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Feb 1st, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750326427 NPPES
New York Other 8691908 MEDICAID GROUP#
New York Other W35021 MEDICAID GROUP#
New York Other 02186203 MEDICAID GROUP#
New York MEDICAID 2572521 MEDICAID GROUP#
New York Other W34991 MEDICAID GROUP#

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