TANNY TANTIYAVARONG

Internal Medicine Physician

NPI: 1396164109IndividualAccepts Medicare

Specialties, Licenses & Credentials

Internal Medicine PhysicianPrimary

Internal Medicine

Code: 207R00000X

20A14753(CA)

CMS Specialties

PrimaryINTERNAL MEDICINE

Education

OTHER

Class of 2014

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Contact & Hours

Address: 1411 E 31ST ST
OAKLAND, CA 94602
Phone: (510) 437-4141

Quick Facts

NPI: 1396164109
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 12

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