Provider Demographics
NPI:1164867354
Name:VAGHAIWALLA, TANAZ MINOO (MD, MS)
Entity type:Individual
Prefix:DR
First Name:TANAZ
Middle Name:MINOO
Last Name:VAGHAIWALLA
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Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:1120 NW 14TH STREET
Mailing Address - Street 2:CRB 4TH FLOOR (M-875)
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-243-4444
Mailing Address - Fax:305-243-4221
Practice Address - Street 1:1120 NW 14TH STREET
Practice Address - Street 2:CRB 4TH FLOOR (M-875)
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-243-4444
Practice Address - Fax:305-243-4221
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2025-04-04
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Provider Licenses
StateLicense IDTaxonomies
FL167983208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery