Active NPI
Khalil Saliba Tanas, M.D.
- Psychiatry Physician
- Raleigh, NC
National Provider Identifier
1750478152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19775
- Practice address
- 220 Swinburne Rd
Raleigh, NC 27610-1834 - Phone
- (919) 212-7000
- Fax
- (919) 250-3943
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 19775 | NC | Primary |
Addresses
Primary practice location
220 Swinburne Rd
Raleigh, NC 27610-1834
Mailing address
220 Swinburne Rd
Raleigh, NC 27610-1834
Phone (919) 212-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19775 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1750478152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SWINBURNE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101834",
"telephone_number": "919-212-7000",
"fax_number": "919-250-3943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SWINBURNE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101834",
"telephone_number": "919-212-7000",
"fax_number": "919-250-3943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANAS",
"first_name": "KHALIL",
"middle_name": "SALIBA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "19775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.