Individual
EHSSAN TUKMACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 481-9776
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME134488
FL
208M00000X
Hospitalist Physician
ME134488
FL
Other
Enumeration date
04/20/2015
Last updated
10/02/2018
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