Organization
TANTAWI PLASTICS COSMETIC VASCULAR SURGERY
Active
Other names
Tantawi Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DIYA TANTAWI M.D. (CEO)
(646) 232-8298
Entity
Organization
Contact information
Practice address
1717 E VISTA CHINO # A7-427, PALM SPRINGS, CA 92262-3559
(646) 232-8298
Mailing address
6935 SPRING VALLEY LN, EXPORT, PA 15632-2644
(646) 232-8298
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A126218
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
A126218
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
A126218
CA
2086S0102X
Surgical Critical Care Physician
A126218
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A126218
CA
2086S0127X
Trauma Surgery Physician
A126218
CA
2086S0129X
Vascular Surgery Physician
A126218
CA
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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