Provider Demographics
NPI:1346494622
Name:VIRAJ V. TIRMAL, M.D., PLLC
Entity Type:Organization
Organization Name:VIRAJ V. TIRMAL, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOSPITALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRAJ
Authorized Official - Middle Name:V
Authorized Official - Last Name:TIRMAL
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS
Authorized Official - Phone:862-251-1418
Mailing Address - Street 1:607 NE 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4695
Mailing Address - Country:US
Mailing Address - Phone:862-251-1418
Mailing Address - Fax:
Practice Address - Street 1:607 NE 11TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-4695
Practice Address - Country:US
Practice Address - Phone:862-251-1418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102836207R00000X, 208M00000X
CT047005207R00000X, 208M00000X
NJ25MA08488400207R00000X, 208M00000X
NY250810207R00000X, 208M00000X
PAMD435561207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty