Tanenbaum, Rian M

Tanenbaum, Rian M is an individual health care provider with primary practice located at 1111 Medical Center Blvd Ste S450, Marrero LA 70072-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tanenbaum, Rian M can be contacted via phone (504) 349-6423.

Contact Information

Primary practice address
1111 Medical Center Blvd Ste S450 Marrero LA 70072-3151
Fax: (504) 349-6062
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 16704 Louisiana

Profile Details

NPI number 1356343610
LBN Legal business name Tanenbaum, Rian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Nov 13th, 2013 - 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 1356343610 NPPES
Louisiana MEDICAID 1385921

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