TANYA R. SELLERS-HANNIBAL DPM PC NPI 1508180712

NPI Information

NPI: 1508180712
Provider Name: TANYA R. SELLERS-HANNIBAL, DPM, PC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
10085 RED RUN BLVD
SUITE 305
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 581-8331
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TANYA R. SELLERS-HANNIBAL, DPM, PC is a foot surgery podiatrist in Owings Mills, MD. TANYA R. SELLERS-HANNIBAL, DPM, PC NPI is 1508180712. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10085 RED RUN BLVD
SUITE 305
OWINGS MILLS, MD
ZIP 21117-836
Phone: (410) 581-8331
Fax: (410) 581-8332

The provider's authorized official is Tanya R Sellers-hannibal .
The authorized official title is Owner and has the following contact phone number (410) 581-8331.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 3/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		01173	MARYLAND	No
2	213E00000X	Podiatrist		PO543	DISTRICT OF COLUMBIA	No
3	213ES0131X	Podiatrist	Foot Surgery	PO543	DISTRICT OF COLUMBIA	No
4	213ES0131X	Podiatrist	Foot Surgery	01173	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	U47525	MEDICARE UPIN	MARYLAND
2	T366	MEDICARE PIN	MARYLAND
3	119128400	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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