Tamanaha, Paul Sk

Tamanaha, Paul Sk is an individual health care provider with primary practice located at 2550 E Guadalupe Rd Ste 109 , Gilbert AZ 85234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tamanaha, Paul Sk can be contacted via phone (480) 505-4475.

Contact Information

Primary practice address
2550 E Guadalupe Rd Ste 109 Gilbert AZ 85234
Fax: (480) 505-4252
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 22014 Arizona

Profile Details

NPI number 1649275645
LBN Legal business name Tamanaha, Paul Sk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 5th, 2018 - about 6 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 1649275645 NPPES
Arizona MEDICAID 315657

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