Provider Demographics
NPI:1295202901
Name:SHRIKANT TAMHANE DO INC
Entity Type:Organization
Organization Name:SHRIKANT TAMHANE DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHRIKANT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMHANE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:310-779-0515
Mailing Address - Street 1:23517 MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-5234
Mailing Address - Country:US
Mailing Address - Phone:310-834-5388
Mailing Address - Fax:310-834-5619
Practice Address - Street 1:23517 MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-5234
Practice Address - Country:US
Practice Address - Phone:310-834-5388
Practice Address - Fax:310-834-5619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7231OtherOSTEOPATHIC MEDICAL BOARD OF CALIFORNIA