Individual
DR. TANYA JAITLEY RATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD STE 600, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD STE 600, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
58242
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
58242
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03M79RA
BLUE CROSS AND BLUE SHIELD OF MN
MN
01
—
134874
UCARE
MN
01
—
254398
MIDLANDS CHOICE INC
MN
05
—
332452000
—
MN
05
—
34944300
—
WI
01
—
54R72RA
BLUE CROSS AND BLUE SHIELD OF MN
MN
01
—
9252111
DAKOTA CARE
MN
01
—
960371051853
PREFERRED ONE
MN
01
—
HP80930
HEALTHPARTNERS
MN
Enumeration date
03/29/2007
Last updated
09/10/2020
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