Marva Tahan, RPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1444 Issued in AZ

Practice address

14506 W Granite Valley Dr
#205
Sun City West, AZ 85375-6010

Phone

(623) 584-5626

Fax

(623) 584-8998

NPI assigned

Aug 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1629061718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR",
            "address_2": "#205",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756010",
            "telephone_number": "623-584-5626",
            "fax_number": "623-584-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR",
            "address_2": "#205",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756010",
            "telephone_number": "623-584-5626",
            "fax_number": "623-584-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHAN",
        "first_name": "MARVA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "1444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z4400",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00014175",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ BLUECARD",
            "identifier": "P0298960",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mingzhu Pearl Sun, LAC
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• Susan a Briceland MD PLC
• Raluca Szentes, FNP
• Tanya Thoms, DPM PLLC
• Tanya Thoms, DPM PLLC
• Poonam Tawde, MD
• Nicole E Taylor, PA-C
• Tammy L Taylor, NP

• Physical Medicine & Rehabilitation Physician in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.