| Reema Taneja, M.d., Inc. | |
|
1280 Boardman Canfield Rd Ste 3 Boardman OH 44512-4073 | |
| (330) 726-1900 | |
| (330) 726-0843 |
| Full Name | Reema Taneja, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1280 Boardman Canfield Rd Ste 3, Boardman, Ohio |
| Authorized Official Name and Position | Reema Taneja (OWNER) |
| Authorized Official Contact | 3307261900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reema Taneja, M.d., Inc. 1240 Boardman Canfield Rd Suite # 1 Boardman OH 44512-4044 Ph: (330) 726-1900 | Reema Taneja, M.d., Inc. 1280 Boardman Canfield Rd Ste 3 Boardman OH 44512-4073 Ph: (330) 726-1900 |
| NPI Number | 1073667168 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 2567596885 |
|---|---|
| Medicare Enrollment ID | O20100823000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073667168 | NPI | - | NPPES |
| 2394083 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35073047 (Ohio) | Primary |
| Provider Name | Reema Taneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417930165 PECOS PAC ID: 9739270125 Enrollment ID: I20070815000018 |
| Provider Name | Lorraine Coalmer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083188965 PECOS PAC ID: 1456691799 Enrollment ID: I20190322000783 |
| Provider Name | Sandra L Majetich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568140697 PECOS PAC ID: 8224483300 Enrollment ID: I20231010000793 |
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