Individual
TARESH TANEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-1084
(254) 724-5561
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-1084
(254) 724-5561
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301086888
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10
10
MI
05
—
PENDING
—
MI
Enumeration date
05/08/2006
Last updated
12/15/2021
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