Individual
DIYA H TANTAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
70225 HIGHWAY 111 STE B&C, RANCHO MIRAGE, CA 92270-2997
(760) 537-3023
(760) 837-8611
Mailing address
70225 HIGHWAY 111 STE B&C, RANCHO MIRAGE, CA 92270-2997
(760) 537-3023
(760) 837-8611
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A126218
CA
2086S0105X
Surgery of the Hand (Surgery) Physician
A126218
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A126218
CA
Other
Enumeration date
04/18/2009
Last updated
04/06/2026
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