Provider Demographics
NPI:1992725808
Name:TANEL, RONN E (MD)
Entity type:Individual
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First Name:RONN
Middle Name:E
Last Name:TANEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PEDIATRIC CARDIOLOGY UCSF CTR
Mailing Address - Street 2:CLINICAL SCIENCES BLDG, BOX 0632, 521 PARNASSUS AVE
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-476-3385
Mailing Address - Fax:415-476-3112
Practice Address - Street 1:PEDIATRIC CARDIOLOGY UCSF CTR
Practice Address - Street 2:CLINICAL SCIENCES BLDG, BOX 0632, 521 PARNASSUS AVE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-3385
Practice Address - Fax:415-476-3112
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2018-01-04
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Provider Licenses
StateLicense IDTaxonomies
CAG67277208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E80179Medicare UPIN