Individual
TANVI NANDANI TARUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
815 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1244
(631) 828-3036
(631) 828-3037
Mailing address
815 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1244
(631) 828-3036
(631) 828-3037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-13036
AR
207R00000X
Internal Medicine Physician
TRN21200
FL
207RN0300X
Nephrology Physician
Primary
328776
NY
207RN0300X
Nephrology Physician
E-13036
AR
Other
Enumeration date
05/14/2015
Last updated
02/04/2025
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