Shruti Chudasama Tannan, MD | |
2709 Blue Ridge Rd Ste 150, Raleigh, NC 27607-6493 | |
(919) 797-0996 | |
Not Available |
Full Name | Shruti Chudasama Tannan |
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Gender | Female |
Speciality | Plastic Surgery |
Location | 2709 Blue Ridge Rd Ste 150, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821257981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208200000X | Plastic Surgery | 2015-00943 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
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Shruti Chudasama Tannan, MD 2709 Blue Ridge Rd Ste 150, Raleigh, NC 27607-6493 Ph: (919) 797-0996 | Shruti Chudasama Tannan, MD 2709 Blue Ridge Rd Ste 150, Raleigh, NC 27607-6493 Ph: (919) 797-0996 |
Dr. Adam David Stein, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 4301 Lake Boone Trl Ste 309, Raleigh, NC 27607 Phone: 919-261-7099 Fax: 919-695-0081 | |
Dr. Charles Scott Hultman, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3024 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7331 | |
Dr. Jeremy W Pyle, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2304 Wesvill Ct, Suite 360, Raleigh, NC 27607 Phone: 919-785-1220 | |
Dr. Aspinder Singh, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2304 Wesvill Ct Ste 360, Raleigh, NC 27607 Phone: 440-223-4582 | |
Cedric Lawon Hunter, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2304 Wesvill Ct Ste 360, Raleigh, NC 27607 Phone: 919-785-1220 | |
Christopher J Morea, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7700 Lead Mine Rd, Raleigh, NC 27615 Phone: 919-845-7880 |