Individual
TANIA VASHISTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
11165 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1113
(818) 365-9531
Mailing address
130 RAMPART WAY, STE 300B, DENVER, CO 80230-6451
(303) 327-4700
(303) 327-4711
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
DR.0056230
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1157130
—
CA
Enumeration date
01/20/2011
Last updated
01/25/2016
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