Individual
TANYA DZINTRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, CHILDREN'S NATIONAL HEALTH SYSTEM, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
111 MICHIGAN AVE NW, CHILDREN'S NATIONAL HEALTH SYSTEM, WASHINGTON, DC 20010-2916
(202) 476-5000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101356295
VA
208800000X
Urology Physician
55211-020
WI
208800000X
Urology Physician
D0077852
MD
208800000X
Urology Physician
Primary
MD042533
DC
Other
Enumeration date
03/29/2009
Last updated
02/08/2022
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