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1164404620

NPI Code Detail

MEDICARE: DR. ANURAG D TIWARY M.D.

MEDICARE: DR. ANURAG D TIWARY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	ME0062882	FL
2	2086S0127X	Trauma Surgery Physician	MD2005-0136	NM
3	208600000X	Surgery Physician	83687	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00747066	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164404620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANURAG D TIWARY M.D.

Provider Business Mailing Address
First Line	:	10653 EARHART DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-5215
Country	:	US
Telephone Number	:	727-346-6489
Fax Number	:

Provider Business Practice Location Address
First Line	:	14000 FIVAY RD
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7103
Country	:	US
Telephone Number	:	727-861-0237
Fax Number	:	727-861-0278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	11/02/2022

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Directions to “ DR. ANURAG D TIWARY M.D.” Practice Location

Language	Start Address	Practice Location

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