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Individual

KELAN G. TANTISIRA

Active
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Individual

KELAN G. TANTISIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD MPH

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
155411
MA
207RP1001X
Pulmonary Disease Physician
Primary
G67143
CA
208000000X
Pediatrics Physician
G67143
CA

Other

Enumeration date
06/03/2006
Last updated
01/07/2021
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