Individual
MR. TARUN STEPHENSON PANDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 NW 167TH ST, MIAMI GARDENS, FL 33056-4552
(956) 372-4952
Mailing address
2333 NW 167TH ST APT 411, MIAMI GARDENS, FL 33056-4558
(956) 372-4952
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME159119
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2021
Last updated
02/16/2023
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