Provider Demographics
NPI:1942599667
Name:TYAN, ANDREW E (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:E
Last Name:TYAN
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-5000
Practice Address - Fax:410-614-1213
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2018-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN582512085R0202X
MDD827652085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology