Individual
VISWESWARA R TATINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE # WW279, MIAMI, FL 33136-1005
(954) 529-3497
Mailing address
1611 NORTH WEST, WW279, MIAMI, FL 33136
(954) 529-3497
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
36670
IA
2085R0202X
Diagnostic Radiology Physician
36670
IA
2085R0202X
Diagnostic Radiology Physician
Primary
ME111563
FL
Other
Enumeration date
05/31/2006
Last updated
12/20/2022
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