Individual
DR. TATACHAR PRIYAMVADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 SW 62ND AVE, NICKLAUS CHILDREN'S HOSPITAL, MIAMI, FL 33155-3009
(786) 624-2891
(305) 669-6531
Mailing address
3100 SW 62ND AVE, NICKLAUS CHILDREN'S HOSPITAL, MIAMI, FL 33155-3009
(786) 624-2891
(305) 669-6531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
002927
NY
282N00000X
General Acute Care Hospital
002927
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02909020
—
NY
Enumeration date
10/24/2007
Last updated
07/06/2016
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