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Organization
TANAZ KAHEN MD, INC
Active
Organization
TANAZ KAHEN MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANAZ KAHEN MD (PRESIDENT)
(818) 344-8822
Entity
Organization
Contact information
Practice address
5525 ETIWANDA AVE STE 209, TARZANA, CA 91356-6117
(818) 344-8822
(818) 344-3587
Mailing address
5525 ETIWANDA AVE STE 209, TARZANA, CA 91356-6117
(818) 344-8822
(818) 344-3587
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A79336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A793360
BLUE SHIELD PROVIDER NUMB
CA
05
—
00A793360
—
CA
01
—
1679542898
TYPE ONE NPI
CA
01
—
A79336
PROVIDER COMERCIAL NUMBER
CA
01
—
WA79336B
MEDI CARE PROVIDER NUMBER
—
Enumeration date
04/01/2008
Last updated
04/11/2008
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