Individual
DR. KAREN ANN TISINAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1037
(812) 242-3110
(812) 242-3795
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3110
(812) 242-3795
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01039405A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384161
ANTHEM
—
05
—
100177110A
—
IN
05
—
100177110T
—
IN
05
—
351904269208
—
IN
01
—
P00315180
RAILROAD MEDICARE PIN
—
01
—
P00834925
RAILROAD MEDICARE
IN
Enumeration date
06/10/2005
Last updated
03/14/2013
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