Individual
GUNJAN TIYYAGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
242882
NY
208000000X
Pediatrics Physician
Primary
242882
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
050966
CT
Other
Enumeration date
04/29/2008
Last updated
01/07/2013
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