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Individual
DR. TEJASWI BHARI THIPPESWAMY
Active
Individual
DR. TEJASWI BHARI THIPPESWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0442440
KS
207Q00000X
Family Medicine Physician
25886
OK
207Q00000X
Family Medicine Physician
A132344
CA
207Q00000X
Family Medicine Physician
E6737
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189923001
—
AR
01
—
5H894
BCBS
AR
01
—
9186194726
UNIVERSITY OF OKLAHOMA
OK
01
—
E6737
STATE LICENSE
AR
Enumeration date
08/09/2007
Last updated
01/23/2020
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