Provider Demographics
NPI:1790986925
Name:PENA, TAHUANTY ANIBAL (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:TAHUANTY
Middle Name:ANIBAL
Last Name:PENA
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Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-4419
Mailing Address - Fax:319-353-6406
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-4419
Practice Address - Fax:319-353-6406
Is Sole Proprietor?:No
Enumeration Date:2007-05-28
Last Update Date:2015-04-07
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Provider Licenses
StateLicense IDTaxonomies
IAMD-42329207RP1001X, 207RC0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine