Mahira Tanovic in Lake Success - Plastic Surgery
Mahira Tanovic - NPI 1942389317
Mahira Tanovic is a Plastic Surgery in Lake Success, New York. Mahira Tanovic practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Mahira Tanovic is 1942389317. The last update date is 2023-03-07.
Mahira Tanovic's current location address is 2500 Marcus Avenue, Lake Success, New York. You can contact this provider via phone number 5163541330 and fax number 5167755953. The mailing address for Mahira Tanovic is 2500 Marcus Avenue, Lake Success, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mahira Tanovic |
|---|---|
| Address | 2500 Marcus Avenue, Lake Success, New York |
| Phone Number | 5163541330 |
| Fax Number | 5167755953 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942389317 |
|---|---|
| Provider Enumeration Date | 2006-11-04 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2500 Marcus Avenue |
|---|---|
| City | Lake Success |
| State | New York (NY) |
| Post Code | 110421018 |
| Phone Number | 5163541330 |
| Fax Number | 5167755953 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 230867 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 230867 | NY | LICENSE |
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What is the Mahira Tanovic's 1942389317?
The Mahira Tanovic's NPI (National Provider Identifier) Number is 1942389317. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mahira Tanovic located?
The Mahira Tanovic is located at 2500 Marcus Avenue, Lake Success, NY 110421018.
What is Mahira Tanovic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mahira Tanovic's specialized field of practice is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942389317 to Mahira Tanovic?
The Mahira Tanovic received its 1942389317 assignment from the Centers for Medicare & Medicaid Services on 2006-11-04.
When was the Mahira Tanovic's information last updated?
The Mahira Tanovic's information was last updated on 2023-03-07.