Provider Demographics
NPI:1710576046
Name:TVM BIO INC
Entity Type:Organization
Organization Name:TVM BIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OM
Authorized Official - Middle Name:RAJ
Authorized Official - Last Name:MANANSINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-488-6246
Mailing Address - Street 1:3030 N ROCKY POINT DR W STE 150
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-7200
Mailing Address - Country:US
Mailing Address - Phone:844-488-6246
Mailing Address - Fax:
Practice Address - Street 1:3030 N ROCKY POINT DR W STE 150
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-7200
Practice Address - Country:US
Practice Address - Phone:844-488-6246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Single Specialty
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10D2208246OtherCLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)
FL117313400Medicaid