Individual
CARL TAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 LONGWOOD AVE, ROCKLEDGE, FL 32955
(321) 636-2111
(321) 636-7180
Mailing address
908 W 4TH NORTH ST, MORRISTOWN, TN 37814-3894
(423) 492-6100
(423) 492-6101
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0447691
KS
207RH0003X
Hematology & Oncology Physician
2018033152
MO
207RH0003X
Hematology & Oncology Physician
89137
FL
207RH0003X
Hematology & Oncology Physician
M-2288
GU
207RX0202X
Medical Oncology Physician
0101281530
VA
207RX0202X
Medical Oncology Physician
2018033152
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268516700
—
FL
05
—
Q031435
—
TN
Enumeration date
09/14/2006
Last updated
12/03/2024
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