Individual
NEERAJA DEEPAK TILLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS MS MCH
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-3209
Mailing address
1 GUSTAVE L LEVY PL FL 6, NEW YORK, NY 10029-6504
(332) 256-8528
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
339180
NY
390200000X
Student in an Organized Health Care Education/Training Program
P119273
NY
Other
Enumeration date
01/16/2023
Last updated
09/30/2025
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