Provider Demographics
NPI:1184038770
Name:PIYUSH TIWARI, MD, INC.
Entity Type:Organization
Organization Name:PIYUSH TIWARI, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PIYUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:TIWARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-440-7633
Mailing Address - Street 1:500 ALA MOANA BLVD
Mailing Address - Street 2:2200
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4920
Mailing Address - Country:US
Mailing Address - Phone:808-522-7500
Mailing Address - Fax:808-522-7561
Practice Address - Street 1:98-665 KAONOHI ST
Practice Address - Street 2:D
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-2419
Practice Address - Country:US
Practice Address - Phone:951-440-7633
Practice Address - Fax:808-792-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD175052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty