Provider Demographics
NPI:1841449485
Name:TILGHMAN, MYRES WINSTON II (MD)
Entity type:Individual
Prefix:DR
First Name:MYRES
Middle Name:WINSTON
Last Name:TILGHMAN
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 WEST ARBOR DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-8425
Mailing Address - Country:US
Mailing Address - Phone:619-543-6737
Mailing Address - Fax:619-543-6529
Practice Address - Street 1:200 WEST ARBOR DRIVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-8425
Practice Address - Country:US
Practice Address - Phone:619-543-6737
Practice Address - Fax:619-543-6529
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA96339207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease