Provider Demographics
NPI:1134672520
Name:TATA TANWANI, MARGARET ACHE
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ACHE
Last Name:TATA TANWANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1752 COLUMBIA RD
Mailing Address - Street 2:NORTH WEST WASHINGTON DC
Mailing Address - City:NORTH WEST WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009
Mailing Address - Country:US
Mailing Address - Phone:202-808-2362
Mailing Address - Fax:
Practice Address - Street 1:1752 COLUMBIA RD
Practice Address - Street 2:NORTH WEST WASHINGTON DC
Practice Address - City:NORTH WEST WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009
Practice Address - Country:US
Practice Address - Phone:202-808-2362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12106374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide