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Individual

DR. ANURAG D TIWARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14000 FIVAY RD, HUDSON, FL 34667-7103
(727) 861-0237
(727) 861-0278
Mailing address
10653 EARHART DR, NEW PORT RICHEY, FL 34654-5215
(727) 346-6489

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
83687
GA
208600000X
Surgery Physician
ME0062882
FL
2086S0127X
Trauma Surgery Physician
MD2005-0136
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372631200
FL
01
P00747066
MEDICARE RAILROAD
Enumeration date
11/18/2005
Last updated
11/02/2022
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