Individual
DOUGLAS N TANNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 688-3140
(317) 688-2664
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01059414A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
01059414A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200816060
—
IN
Enumeration date
06/07/2006
Last updated
03/13/2025
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