Provider Demographics
NPI:1457426082
Name:TIWARI, UMESH KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:UMESH
Middle Name:KUMAR
Last Name:TIWARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:530 E MCDOWELL RD # 107-622
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1549
Mailing Address - Country:US
Mailing Address - Phone:951-200-5183
Mailing Address - Fax:800-508-2215
Practice Address - Street 1:7219 N LITCHFIELD RD
Practice Address - Street 2:
Practice Address - City:LUKE AFB
Practice Address - State:AZ
Practice Address - Zip Code:85309-1529
Practice Address - Country:US
Practice Address - Phone:623-856-2274
Practice Address - Fax:623-856-2777
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA93224207R00000X
AZ43345207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine