Taan J Wongananda (NPI# 1982786844, PAC ID# 3173627635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1982786844 |
| PAC ID by PECOS | 3173627635 |
| Professional Enrollment ID | I20070323000036 |
| Full Name | Taan J Wongananda |
| Address |
806 Landmark Suite 129 Glen Burnie MD 21061-4980 |
| Gender | M |
| Credential | DPM |
| Medical School | PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210043 | UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 806 Landmark, Suite 129, Glen Burnie, MD 21061-4980 |
| Street Address |
806 LANDMARK SUITE 129 |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-4980 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | PODIATRY |
| City + Specialty | GLEN BURNIE + PODIATRY |
Please comment or provide details below to improve the information on Taan J Wongananda.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.