Organization
RAJENDRA K. TIWARI, M.D., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA K. TIWARI M.D. (PRESIDENT)
(818) 244-5117
Entity
Organization
Contact information
Practice address
1500 S CENTRAL AVE, #314, GLENDALE, CA 91204-2573
(818) 244-5117
(818) 244-6957
Mailing address
1500 S CENTRAL AVE, #314, GLENDALE, CA 91204-2573
(818) 244-5117
(818) 244-6957
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A26099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A260990
—
CA
Enumeration date
01/12/2007
Last updated
07/21/2009
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