Individual
MARVA TAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
14506 W GRANITE VALLEY DR, #205, SUN CITY WEST, AZ 85375-6010
(623) 584-5626
(623) 584-8998
Mailing address
14506 W GRANITE VALLEY DR, #205, SUN CITY WEST, AZ 85375-6010
(623) 584-5626
(623) 584-8998
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1444
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z4400
HEALTH NET
AZ
01
—
P00014175
RAILROAD MEDICARE
AZ
01
—
P0298960
BCBS AZ BLUECARD
AZ
Enumeration date
08/24/2005
Last updated
10/19/2007
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