Individual
MR. TEJAN P DIWANJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 NW 14TH ST, MIAMI, FL 33125
(305) 243-5302
Mailing address
1321 NW 14TH ST, MIAMI, FL 33125-1673
(305) 243-5302
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME135677
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2013
Last updated
02/08/2022
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