Individual
DR. HARSHA TANKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 FORREST AVE, SUITE 203, DOVER, DE 19904-3483
(302) 346-0101
(302) 346-0103
Mailing address
319 QUAILS NEST DR, DOVER, DE 19904-5586
(302) 678-0950
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
C1-0005962
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001058401
—
DE
Enumeration date
07/19/2006
Last updated
07/01/2008
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