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Organization

SOUTHERN INDIANA ANESTHESIOLOGY

Active
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Organization

SOUTHERN INDIANA ANESTHESIOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAMAL KUMAR TIWARI MD (PRESIDENT)
(812) 333-7246
Entity
Organization

Contact information

Practice address
2920 MCINTYRE DR, SUITE 150, BLOOMINGTON, IN 47403-4221
(812) 333-7246
(812) 333-4471
Mailing address
PO BOX 5635, ATTN: MARIA MITCHELL, BLOOMINGTON, IN 47407-5635
(812) 824-5688
(812) 824-5692

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
IN

Other

Enumeration date
09/15/2005
Last updated
11/14/2007
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