Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAHIRA TANOVIC, MD
Active Sole ProprietorDR. MAHIRA TANOVIC, MD is a Plastic Surgery healthcare provider located in LAKE SUCCESS, New York. NPI 1942389317 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · LAKE SUCCESS, NY
Registration Details
- NPI Number
- 1942389317
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2006 (19.806594560624 yrs)
- Last Updated
- Mar 7, 2023
- License
-
230867 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 MARCUS AVENUESUITE, 103LAKE SUCCESS, NY, 110421018Browse NY providers · Browse ZIP 11042
- Phone
- 5163541330
- Fax
- 5167755953
- Primary Specialty
-
Plastic Surgery
208200000X
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.