Provider Demographics
NPI:1093248494
Name:ATIEH, TAHANI SALEH (DO)
Entity Type:Individual
Prefix:
First Name:TAHANI
Middle Name:SALEH
Last Name:ATIEH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 SHAWNEE MISSION PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2005
Mailing Address - Country:US
Mailing Address - Phone:913-588-0348
Mailing Address - Fax:913-588-4085
Practice Address - Street 1:2330 SHAWNEE MISSION PKWY STE 210
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205-2005
Practice Address - Country:US
Practice Address - Phone:913-588-0348
Practice Address - Fax:913-588-4085
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-04
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-47828207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology