Individual
DR. SUBHASH R TIWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
726 20TH ST, VERO BEACH, FL 32960-5442
(772) 257-5264
(772) 257-5265
Mailing address
726 20TH ST, VERO BEACH, FL 32960-5442
(772) 257-5264
(772) 257-5265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME0039117
FL
2084P0800X
Psychiatry Physician
Primary
ME39117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22645 (INACTIVE)
WISCONSIN BOARD OF MEDICINE (PHYSICIANS' LICENSE)
WY
01
—
36059800 (INACTIVE)
ILLINOIS DEPT. OF PROFESSIONAL REGULATION (PHYSICIANS' LICENSE)
IL
01
—
ME39117
FLORIDA STATE LICENSE
FL
Enumeration date
05/27/2006
Last updated
01/23/2023
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