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Diya
Diya
Tantawi
Medical doctor
Palm Desert, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
DIYA TANTAWI
Job Title
Medical Doctor
Location
Palm Desert, CA, USA
LIC ID
126498
Current License Expiration Date
31/01/2025
Original Date
10/08/2016
Professional Rank Code
ME
Effective Date
10/08/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
74000 COUNTRY CLUB DRIVE, A2
Practice Location Address City
PALM DESERT
Practice Location Address State
CA
Practice Location Address Zipcode
92260
Prescribing Indicator
N
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