Individual
DR. JAN B TAWAKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3004 ORANGE GROVE, SUITE 2, CHRISTIANSTED, VI 00820-4288
(340) 715-7720
(340) 713-9002
Mailing address
3004 ORANGE GROVE, SUITE 2, CHRISTIANSTED, VI 00820-4288
(340) 715-7720
(340) 713-9002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1675
VI
207RN0300X
Nephrology Physician
Primary
1675
VI
207RN0300X
Nephrology Physician
ME86769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
898629
—
AZ
Enumeration date
09/07/2005
Last updated
10/07/2025
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