# DR. MICHAEL D TARANTINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396731063
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | 036-101239 | IL | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | 29978 | KY | — |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 07/30/2021