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Cheryl Ann Tanasovich, MD
Procedural Dermatology Physician in Greenbrae, California
NPI 1215960844

Cheryl Ann Tanasovich is a Procedural Dermatology Physician based in Greenbrae, CA and is specialized in Procedural Dermatology. Cheryl Ann Tanasovich practices in Greenbrae, CA and has the professional credentials of MD. The NPI Number for Cheryl Ann Tanasovich is 1215960844 and holds a License No. G53455 (California).

The current practice location address for Cheryl Ann Tanasovich is 1300 S Eliseo Dr, Greenbrae, CA and can be reached out via phone at 415-925-0550 and via fax at 415-925-9062.

Location: 1300 S Eliseo Dr, Greenbrae, CA, 94904-2023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215960844
Provider Name
Cheryl Ann Tanasovich
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1300 S Eliseo Dr, Greenbrae, CA, 94904-2023
Phone Number
415-925-0550
Fax Number
415-925-9062
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G534551 01 CA MEDI-CAL PROVIDER NUMBER
931041613 01 CA TRICARE PROVIDER NUMBER
0004133440 01 CA AETNA PROVIDER NUMBER
00G534550 01 CA BLUE SHIELD PROV #
070003525 01 CA RAILROAD MEDICARE PROV #
institution
Provider Business Practice Location Address Details
Address
1300 S Eliseo Dr
City
Greenbrae
State
California
Zip
94904-2023
Phone Number
415-925-0550
Fax Number
415-925-9062
person
Provider Business Mailing Address Details
Address
1300 S Eliseo Dr
City
Greenbrae
State
California
Zip
94904-2023
Phone Number
415-925-0550
Fax Number
415-925-9062
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
G53455 (California)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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