Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nusrat Uddin Tanni, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912673849

Nusrat Uddin Tanni, MD is an Internal Medicine in West Sacramento, California. Qualified in 2016, 10 years ago. Practices with Elica Health Centers, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2021
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

155 15th St Ste A
West Sacramento, CA 95691-3737
Phone: (916) 454-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 200000 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912673849
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2021
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Elica Health Centers — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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