Male or Other

Kaizad P. Tamboli M.D.

Internal Medicine Physician in St Petersburg, FL(View on Map)

Full Name

Kaizad P Tamboli M.D.

NPI Number

1881753986

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/06/2006

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Mississippi

License Number

ME91603
12792

Contact
Information

Purpose

Mailing
Location

Address

1395 NW 167TH ST
2805 54TH AVE N STE 500

City

Miami Gardens
St Petersburg

State

FL
FL

Postal Code

33169-5710
33714-2414

Country

US
US

Telephone Number

(305) 628-6117
(305) 628-6117

Identifiers

Identifier

00121210

Identifier State

MS

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/29/2021

Provider Address

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