Provider Demographics
NPI:1669238234
Name:TIPIRNENI, ARJEET BEANT
Entity type:Individual
Prefix:
First Name:ARJEET
Middle Name:BEANT
Last Name:TIPIRNENI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 LOCH BERRY RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5224
Mailing Address - Country:US
Mailing Address - Phone:407-687-1205
Mailing Address - Fax:
Practice Address - Street 1:1848 LOCH BERRY RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-5224
Practice Address - Country:US
Practice Address - Phone:407-687-1205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program