Individual
DIANA TAMBOLI
Active
Individual
DIANA TAMBOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
125061038
IL
207W00000X
Ophthalmology Physician
Q3979
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
32188
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200653870A
—
OK
Enumeration date
06/09/2011
Last updated
12/05/2024
Update your record
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