Perkins-Mwantuali, Tanya

Perkins-Mwantuali, Tanya is an individual health care provider with primary practice located at 1255 Culver Ave , Utica NY 13501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Perkins-Mwantuali, Tanya can be contacted via phone (315) 738-7186.

Contact Information

Primary practice address
1255 Culver Ave Utica NY 13501
Phone: (315) 738-7186
Fax: (315) 738-0188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 215859 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 215859 New York

Profile Details

NPI number 1740243492
LBN Legal business name Perkins-Mwantuali, Tanya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 2nd, 2011 - about 13 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 1740243492 NPPES
New York MEDICAID 02048988

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