Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHERYL ANN TANASOVICH, M.D.
Active Sole ProprietorProcedural Dermatology · GREENBRAE, CA
Registration Details
- NPI Number
- 1215960844
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2006 (19.789446770197 yrs)
- Last Updated
- Jul 18, 2007
- License
-
G53455 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1300 S ELISEO DRSUITE 207GREENBRAE, CA, 949042023Browse CA providers · Browse ZIP 94904
- Phone
- 4159250550
- Fax
- 4159259062
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.