SHIVA TAJIANI

DAVENPORT, FL
NPI1417729252
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9116917)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: FL  PA9116917)
363AS0400X Physician Assistant, Surgical
(Licence: FL  PA9116917)
Enumeration Date2023-10-25
Last Update Date2024-11-18
Business Address
SHIVA TAJIANI PA-C
40215 HIGHWAY 27
DAVENPORT, FL 33837-7813
Phone number: 863-421-9705
Mailing Address
SHIVA TAJIANI PA-C
PO BOX 102222
ATLANTA, GA 30368-2222
Phone number: 392-274-8200