Active NPI
Rajendra K. Tanna, M.D., P.a.
- Allergy & Immunology Physician
- Fort Worth, TX
National Provider Identifier
1699896704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- F7942
- Legal business name
- RAJENDRA K. TANNA, M.D., P.A.
- Practice address
- 1000 College Ave
Fort Worth, TX 76104-3033 - Phone
- (817) 336-8855
- Fax
- (817) 336-4228
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajendra K Tanna, MD
- Title
- Owner
- Phone
- (817) 336-8855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | F7942 | TX | Primary |
Addresses
Primary practice location
1000 College Ave
Fort Worth, TX 76104-3033
Mailing address
1000 College Ave
Fort Worth, TX 76104-3033
Phone (817) 336-8855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099488101 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Fort Worth, TX
- NPI 1548509532
-
- Allergy & Immunology (Internal Medicine) Physician
- Fort Worth, TX
- NPI 1588691125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224460800000",
"number": "1699896704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 COLLEGE AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043033",
"telephone_number": "817-336-8855",
"fax_number": "817-336-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 COLLEGE AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043033",
"telephone_number": "817-336-8855",
"fax_number": "817-336-4228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAJENDRA K. TANNA, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2008-10-20",
"status": "A",
"authorized_official_last_name": "TANNA",
"authorized_official_first_name": "RAJENDRA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-336-8855",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "F7942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099488101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.