Individual
TANIA BONISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1430 TULANE AVE, SUITE 8509, NEW ORLEANS, LA 70112-2632
(504) 988-3541
Mailing address
1430 TULANE AVE, SUITE 8509, NEW ORLEANS, LA 70112-2632
(504) 988-3541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A134213
CA
208M00000X
Hospitalist Physician
A134213
CA
Other
Enumeration date
05/21/2013
Last updated
04/19/2022
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