Individual
TEENA TANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5815 S RAINBOW BLVD STE 110, LAS VEGAS, NV 89118-2553
(702) 588-7077
(702) 588-7079
Mailing address
2545 S BRUCE ST STE 200, LAS VEGAS, NV 89169-1778
(702) 732-2438
(702) 737-5043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13573
NV
207RN0300X
Nephrology Physician
Primary
13573
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336349158
—
NV
05
—
550665
—
AZ
Enumeration date
07/19/2007
Last updated
05/16/2024
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