Provider Demographics
NPI:1104550656
Name:RUPANI, TEHSEEN (NP)
Entity type:Individual
Prefix:
First Name:TEHSEEN
Middle Name:
Last Name:RUPANI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 RALPH MCGILL BLVD NE UNIT 203
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1339
Mailing Address - Country:US
Mailing Address - Phone:404-543-9461
Mailing Address - Fax:
Practice Address - Street 1:1220 CAROLINE ST NE # A-230
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2749
Practice Address - Country:US
Practice Address - Phone:678-710-3980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN279483363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily