Individual
TANYA BHATTACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2051 PLAINFIELD RD, CREST HILL, IL 60403-1865
(815) 741-4343
(815) 741-8660
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036149813
IL
207N00000X
Dermatology Physician
ME129310
FL
Other
Enumeration date
05/11/2015
Last updated
03/08/2021
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