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NPI Code Detail

MEDICARE: RENUKA TOLANI DO

MEDICARE: RENUKA TOLANI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207RN0300XNephrology PhysicianBP10085278TX
3207RN0300XNephrology Physician20A25190CA

General Provider Information

NPI Number : 1457972820
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENUKA TOLANI DO
Provider Business Mailing Address
First Line : 540 SW 91ST AVE
Second Line :
City : MIAMI
State : FL
Zip : 33174-2322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6565 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 713-790-3311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2020
Last Update Date : 05/26/2026

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Directions to “ RENUKA TOLANI DO” Practice Location

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