Individual
TANYA SHOAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
407 AUTUMNSTONE LN, BOWLING GREEN, KY 42103-6004
(952) 381-1344
Mailing address
407 AUTUMNSTONE LN, BOWLING GREEN, KY 42103-6004
(952) 381-1344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47560
KY
Other
Enumeration date
04/06/2011
Last updated
03/10/2015
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