Dilip Kumar Tannan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26504 Issued in WI

Practice address

555 S Washburn St
Cte 2
Oshkosh, WI 54904-6710

Phone

(920) 231-2555

Fax

(920) 236-3248

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215033972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S WASHBURN ST",
            "address_2": "CTE 2",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046710",
            "telephone_number": "920-231-2555",
            "fax_number": "920-236-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S WASHBURN ST",
            "address_2": "CTE 2",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046710",
            "telephone_number": "920-231-2555",
            "fax_number": "920-236-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNAN",
        "first_name": "DILIP",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "26504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30731900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodore Donald Szymanski, D.C.
• T.S. Altepeter, PH.D. SC
• Luke J Tacke
• Breion M Tafoya, D.O.
• Mandy M Tague, RN
• Kimberly Tassoul
• Jennifer E Taubel, CNM
• Stephanie Marie Taylor
• Teh-Khang Care LLC
• Brian A.W. Temple, MD

• Family Medicine Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.