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Individual
DR. TARA H SHANI
Active
Individual
DR. TARA H SHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F2920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034912801
—
TX
01
—
827083720
RAILROAD MEDICARE NO
TX
Enumeration date
09/27/2005
Last updated
07/06/2010
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