Individual
HIMAT TANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 SHEPARD DR STE 102, SANTA MARIA, CA 93454-7016
(805) 928-9300
(805) 928-9790
Mailing address
1505 SHEPARD DR STE 102, SANTA MARIA, CA 93454-7016
(805) 928-9300
(805) 928-9790
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A35478
CA
Other
Enumeration date
07/14/2006
Last updated
04/13/2023
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