Look up the most recent NPI and PECOS records

Bhavna Nitin Tanna

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as BHAVNA TANNA.

Based on the most recent information from CMS, provider Bhavna Nitin Tanna is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1013971225
Provider Type
Individual
Full Name
Tanna, Bhavna Nitin
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/14/2006
Last Updated
4/18/2019

Contact Information

Practice Location

601 W Terrell Ave, Fort Worth, TX 76104

(817) 702-2977

Unlisted Fax

Mailing Location

200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657

(817) 702-2977

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License K8514 Texas

Bhavna Nitin Tanna

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Carrera, Victoria

Savage, Autumn

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Watemberg, Isaac Aaron

Krumm, Ellisa

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Tee, Cheow Meng

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Akinmerese, Olawale Opeyemi

Baumer, Joane