Individual
SHLOMO MARK TANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11702 GAINSBOROUGH RD, POTOMAC, MD 20854-3246
(703) 201-0830
Mailing address
11702 GAINSBOROUGH RD, POTOMAC, MD 20854-3246
(703) 201-0830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0130000215
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00-60-2846-2
—
VA
01
—
0130000215
BOARD OF MEDICINE LICENSE
VA
01
—
085814
ANTHEM
VA
01
—
A302-0001
BCBSNCA
VA
Enumeration date
06/04/2006
Last updated
11/22/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us