Individual
SADEKA TAMANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20279
MS
207R00000X
Internal Medicine Physician
46125
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-06054
MEDICA
MN
05
—
06325569
—
MS
05
—
131014
—
MN
01
—
155L1TA
BCBS
MN
01
—
1907895
ARAZ
MN
05
—
565333
—
IA
01
—
8586
AVERA
MN
05
—
916487100
—
MN
01
—
HP39742
HEALTH PARTNERS
FM
01
—
MH9041035331
PPO
MN
Enumeration date
12/01/2005
Last updated
05/09/2014
Update your record
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