Individual
DR. SUPRIYA MARUTI TIGADI
Active
Individual
DR. SUPRIYA MARUTI TIGADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51029
CT
207RC0000X
Cardiovascular Disease Physician
Primary
051029
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51029
LICENSE
CT
Enumeration date
10/22/2009
Last updated
09/29/2022
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