Individual
DR. MICHAEL D TARANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
036-101239
IL
2080P0207X
Pediatric Hematology & Oncology Physician
29978
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64299787
KENTUCKY MEDICAID
KY
01
—
7225372
BCBS OF IL
IL
01
—
P00096725
RAILROAD MEDICARE
—
Enumeration date
09/27/2005
Last updated
07/30/2021
Update your record
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