Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tany Thaniyavarn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447547880

Mr. Tany Thaniyavarn, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts and Pennsylvania.

Licensed in
MA, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-7420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 615 Michael St Ne Ste 205, Atlanta, GA 30322-1047 — (404) 712-8286

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 276755 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT199505 (PA)

Record details

NPI number1447547880
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020

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