Individual
ANANDITA TIWARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26035
OR
291U00000X
Clinical Medical Laboratory
38D2107406
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027821
—
OR
Enumeration date
01/23/2006
Last updated
06/07/2022
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