Tannous, Nicholas J

Tannous, Nicholas J is an individual health care provider with primary practice located at 19851 Observation Dr Ste 360 , Germantown MD 20876-4141. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Tannous, Nicholas J can be contacted via phone (443) 693-7246.

Contact Information

Primary practice address
19851 Observation Dr Ste 360 Germantown MD 20876-4141
Phone: (443) 693-7246
Fax: (301) 337-6478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2012005502 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 2012005502 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 15477 Nevada
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 101263858 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X D0084655 Maryland

Profile Details

NPI number 1386817831
LBN Legal business name Tannous, Nicholas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated Nov 26th, 2018 - 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 1386817831 NPPES
Other 12355682 CAQH
Other 000000767742 CAQH
MEDICAID 1386817831 CAQH

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