Provider Demographics
NPI:1013181924
Name:HU, TILINA N (MD)
Entity Type:Individual
Prefix:DR
First Name:TILINA
Middle Name:N
Last Name:HU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TILINA
Other - Middle Name:N
Other - Last Name:PINNADUWAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3030 N CENTRAL AVE STE 1001
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2716
Mailing Address - Country:US
Mailing Address - Phone:602-406-4786
Mailing Address - Fax:916-636-4358
Practice Address - Street 1:350 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4409
Practice Address - Country:US
Practice Address - Phone:602-406-3430
Practice Address - Fax:602-406-4058
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ372422085R0202X
AZ810672085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ434660Medicaid
AZP00812937OtherRAILROAD MEDICARE
AZP00812937OtherRAILROAD MEDICARE
AZZ138326Medicare PIN