Individual
DR. TATULYA TIWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E. MEDICAL CENTER DR #B1F510K, RAD: DIAGNOSTIC RADIOLOGY, ANN ARBOR, MI 48109-5030
(734) 936-4338
(734) 615-3506
Mailing address
1500 E MEDICAL CENTER DRIVE, UH B1D530, ANN ARBOR, MI 48109-5030
(734) 647-4144
(734) 615-1276
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301106929
MI
390200000X
Student in an Organized Health Care Education/Training Program
0116023309
VA
390200000X
Student in an Organized Health Care Education/Training Program
11015479A
IN
Other
Enumeration date
05/24/2010
Last updated
10/23/2015
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