Provider Demographics
NPI:1144403403
Name:NEMANI, TANUJA NIMISH (MD,MPH)
Entity Type:Individual
Prefix:DR
First Name:TANUJA
Middle Name:NIMISH
Last Name:NEMANI
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:DR
Other - First Name:TANUJA
Other - Middle Name:SURENDRA
Other - Last Name:RIJHWANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,MPH
Mailing Address - Street 1:PO BOX 290310
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-0310
Mailing Address - Country:US
Mailing Address - Phone:314-255-2220
Mailing Address - Fax:314-200-4086
Practice Address - Street 1:303 N CLYDE MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-2709
Practice Address - Country:US
Practice Address - Phone:314-255-2220
Practice Address - Fax:314-200-4086
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113735207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease