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Individual

DR. TINA KAUR THETHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2415 N ORANGE AVE STE 502, ORLANDO, FL 32804-5503
(407) 303-2801
(407) 303-2805
Mailing address
2415 N ORANGE AVE STE 502, ORLANDO, FL 32804-5503
(407) 303-2801
(407) 303-2805

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
15709R
LA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME141391
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1070840
LA
Enumeration date
08/17/2006
Last updated
10/29/2019
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