Individual
STEVEN M TILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2505 SAMARITAN DR, SUITE 405, SAN JOSE, CA 95124-4013
(408) 356-8133
(408) 356-6923
Mailing address
2505 SAMARITAN DR, SUITE 405, SAN JOSE, CA 95124-4013
(408) 356-8133
(408) 356-6923
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G40389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G403890
—
CA
Enumeration date
08/11/2005
Last updated
11/11/2010
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