Individual
AJIT KUMAR TIWARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01039897A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219038
BLUE CROSS & BLUE SHIELD
IN
01
—
036119147
STATE LICENSE
IL
05
—
100094420E
—
IN
01
—
10236450000
TRICARE
IN
01
—
180027935
RR MEDICARE
IN
Enumeration date
10/02/2006
Last updated
11/10/2009
Update your record
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