Individual ProviderTannaz MoinInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York St, T-209, Yale New Haven Hospital, New Haven, CT 06510-3220(203) 688-2259PECOS EnrollmentBased on the most recent information from CMS, provider Tannaz Moin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1528243342Provider TypeIndividualFull NameMoin, TannazTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date12/31/2007Last Updated5/20/2008Contact InformationPractice LocationPractice Address20 York St, T-209, Yale New Haven Hospital, New Haven, CT 06510-3220Phone(203) 688-2259Fax(203) 688-5599Mailing LocationMailing Address20 York St T-209, Yale New Haven Hospital, New Haven, CT 06510Phone(203) 688-2259Fax(203) 688-5599Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense046073Connecticut