Individual
KASHYAP TADISINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 NW 14TH STREET, 4TH FLOOR, ROOM 410, MIAMI, FL 33136
(305) 243-7500
(305) 689-3103
Mailing address
1120 NW 14TH STREET, 4TH FLOOR, ROOM 410, MIAMI, FL 33136
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME158725
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2015
Last updated
09/21/2022
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