Individual provider · Type 1 NPI

Tanmay Uday Bangale, DO

Student in an Organized Health Care Education/Training Program · Tahlequah, OK

NPI number 1790530657 Active

Practice location

1373 E Boone St Fl 2
Tahlequah, OK 74464-3364

Call (918) 453-2105 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790530657

Tanmay Uday Bangale, DO's National Provider Identifier is 1790530657, issued on Apr 23, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tahlequah, OK. The record was last updated on Apr 23, 2024.