Individual
TANA GEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60212
MN
207R00000X
Internal Medicine Physician
Primary
MD184953
OR
208M00000X
Hospitalist Physician
MD184953
OR
Other
Enumeration date
06/01/2012
Last updated
06/04/2025
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