# DR. TARA HANJAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750326427
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 227925-1 | NY | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 227925-1 | NY | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 02/01/2017

## 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 |