Individual
DR. TAJDHARY TIWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10923 111TH ST, SOUTH OZONE PARK, NY 11420-1015
(347) 385-6059
Mailing address
10923 111TH ST, SOUTH OZONE PARK, NY 11420-1015
(347) 385-6059
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26834
WV
207P00000X
Emergency Medicine Physician
281938
NY
207P00000X
Emergency Medicine Physician
Primary
51500
KY
207P00000X
Emergency Medicine Physician
MD461755
PA
207R00000X
Internal Medicine Physician
MD2015-0699
NM
207R00000X
Internal Medicine Physician
MD461755
PA
Other
Enumeration date
02/14/2014
Last updated
11/10/2023
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