Individual
TANYA DEVNANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7250 CLEARVISTA DR STE 355, INDIANAPOLIS, IN 46256-5609
(317) 621-5676
(317) 621-5678
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014016669
MO
207R00000X
Internal Medicine Physician
2016029202
MO
207R00000X
Internal Medicine Physician
35.131794
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01082161A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300026691
—
IN
01
—
P02258996
MEDICARE RR
IN
Enumeration date
06/16/2014
Last updated
09/12/2019
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