Individual
DR. RIZWANA THANAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4355 NW AMERICAN LN, LAKE CITY, FL 32055-4828
(386) 758-6094
Mailing address
4355 NW AMERICAN LN, LAKE CITY, FL 32055-4828
(386) 758-6094
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0071429
FL
Other
Enumeration date
12/05/2005
Last updated
01/26/2022
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