Individual
DR. DOUGLAS TANITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1348 PASEO VERDE PKWY STE 100, HENDERSON, NV 89012-5723
(702) 847-6252
(702) 847-6254
Mailing address
1348 PASEO VERDE PKWY STE 100, HENDERSON, NV 89012-5723
(702) 847-6252
(702) 847-6254
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13860
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250009085
—
NV
Enumeration date
10/04/2010
Last updated
04/23/2026
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