Individual
KAAJAL PATEL TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 6TH ST S, ST PETERSBURG, FL 33701-4630
(727) 767-8477
Mailing address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
OS19516
FL
Other
Enumeration date
03/29/2020
Last updated
09/12/2025
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