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Individual
DR. TARA HANJAN
Active
Individual
DR. TARA HANJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
227925-1
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
227925-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02186203
MEDICAID GROUP #
NY
05
—
2572521
—
NY
01
—
8691908
MEDICAID GROUP#
NY
01
—
W34991
MEDICARE GROUP#
NY
01
—
W35021
MEDICARE GROUP #
NY
Enumeration date
06/18/2006
Last updated
02/01/2017
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