Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 34.014977 | OH |
N | 2080P0202X | Pediatric Cardiologist | 34.014977 | OH |
Y | 2080P0203X | Pediatric Critical Care Doctor | 34.014977 | OH |
NPI | 1073951711 |
---|---|
Provider Name | Dr. Tanya Perry |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2013 |
Last Update Date | 09/04/2021 |