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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
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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