Individual
DR. GAURAV TANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6885 BELFORT OAKS PL STE 230, JACKSONVILLE, FL 32216-6283
(904) 593-5333
(904) 593-5334
Mailing address
12620 BEACH BLVD STE 3-422, JACKSONVILLE, FL 32246-7131
(623) 734-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-097593
OH
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
125049759
IL
207RN0300X
Nephrology Physician
Primary
ME121997
FL
208M00000X
Hospitalist Physician
01066629
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000622778
ANTHEM
IN
05
—
200943860
—
IN
05
—
35919301
—
AZ
Enumeration date
04/10/2007
Last updated
02/05/2026
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