SHLOMO MARK TANEN M.D.
NPI 1174562540
Specialist in Potomac, MD

Active since June 04, 2006
11702 GAINSBOROUGH RD, POTOMAC, MD 20854(703) 201-0830 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shlomo Mark Tanen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHLOMO MARK TANEN M.D. (NPI 1174562540) is an individual specialist in Potomac, Maryland, licensed in Virginia (0130000215) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1174562540
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSHLOMO MARK TANENCredential: M.D.
Location Address11702 GAINSBOROUGH RDPotomac, MD 20854-3246
Mailing Address11702 Gainsborough RdPotomac, MD 20854-3246 · (703) 201-0830
Sole ProprietorYes
Enumeration DateJune 4, 2006
Last NPPES UpdateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
NPI 1174562540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in VA · 0130000215
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11702 GAINSBOROUGH RD, Potomac, MD 20854

Other Identifiers 4

Other0130000215VA · Board Of Medicine License
Medicaid00-60-2846-2VA
Other085814VA · Anthem
OtherA302-0001VA · Bcbsnca

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shlomo Tanen's NPI number?

The NPI number for Shlomo Tanen is 1174562540. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Shlomo Tanen located?

Shlomo Tanen practices at 11702 Gainsborough Rd, Potomac, MD 20854. The listed phone number is (703) 201-0830.

What is Shlomo Tanen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shlomo Tanen was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.