Provider Demographics
NPI:1811975170
Name:TVARYANAS, ANTHONY PAUL (MD, PHD, MPH)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:PAUL
Last Name:TVARYANAS
Suffix:
Gender:M
Credentials:MD, PHD, MPH
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Mailing Address - Street 1:9685 OLDE GEORGETOWN
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-6095
Mailing Address - Country:US
Mailing Address - Phone:937-938-9243
Mailing Address - Fax:
Practice Address - Street 1:2510 5TH ST
Practice Address - Street 2:BUILDING 840, ROOM W413.08
Practice Address - City:WRIGHT PATTERSON AFB
Practice Address - State:OH
Practice Address - Zip Code:45433-7951
Practice Address - Country:US
Practice Address - Phone:937-938-3253
Practice Address - Fax:937-656-5248
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2013-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH350753702083A0100X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine