Individual
ANAHITA TAVANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN33385
FL
2085R0202X
Diagnostic Radiology Physician
Primary
1025944
MA
2085R0202X
Diagnostic Radiology Physician
Primary
TRN33385
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
06/04/2026
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