Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD461231 | PA |
N | 111NI0900X | Internist | MD461231 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD461231 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD461231 | PA |
N | 207RI0011X | Interventional Cardiology | MD461231 | PA |
NPI | 1417235003 |
---|---|
Provider Name | Dr. Monique S Tanna |
First Address | Philadelphia, PA 19104-5127 |
Second Address | Philadelphia, PA 19104-5127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2011 |
Last Update Date | 25/09/2019 |