Organization
MIDWEST BREAST AND AESTHETIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJ TIWARI M.D. (PRESIDENT)
(614) 202-7468
Entity
Organization
Contact information
Practice address
1329 CHERRY WAY DR, SUITE 200, GAHANNA, OH 43230-6777
(614) 202-7468
(855) 687-6227
Mailing address
1329 CHERRY WAY DR STE 200, GAHANNA, OH 43230-6781
(614) 202-7468
(855) 687-6227
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
09/05/2016
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