Michael Tannenbaum in Modesto - Physician Assistant
Michael Tannenbaum - NPI 1457553885
Michael Tannenbaum is a Physician Assistant in Modesto, California. Michael Tannenbaum practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Tannenbaum is 1457553885. The last update date is 2009-06-12.
Michael Tannenbaum's current location address is 1808 Scenic Dr, Modesto, California. You can contact this provider via phone number 5104098966. The mailing address for Michael Tannenbaum is 1808 Scenic Dr, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Tannenbaum |
|---|---|
| Address | 1808 Scenic Dr, Modesto, California |
| Phone Number | 5104098966 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1457553885 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2009-06-12 |
Provider Mailing Address Detail
| Address | 1808 Scenic Dr |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953554947 |
| Phone Number | 5104098966 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA01230 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Michael Tannenbaum's unique identification number?
The Michael Tannenbaum has been assigned the NPI (National Provider Identifier) Number 1457553885 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Michael Tannenbaum's facilities are situated?
The facilities of Michael Tannenbaum are physically located at the following address: 1808 Scenic Dr, Modesto, CA, 953554947.
What is Michael Tannenbaum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Tannenbaum's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did the Michael Tannenbaum receive its 1457553885?
The Michael Tannenbaum was issued its 1457553885 on 2007-06-05, which is the date when the organization was assigned this unique identifier.
When was the information related to Michael Tannenbaum most recently updated or refreshed?
The details pertaining to the Michael Tannenbaum, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-06-12.
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