MEDICARE: DR. RATAN L TIWARI 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	207RC0000X	Cardiovascular Disease Physician	A35113	CA
2	207RI0011X	Interventional Cardiology Physician	A35113	CA
3	207UN0901X	Nuclear Cardiology Physician	A35113	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	BH564Y	OTHER	CA	MEDICARE PTAN

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

General Provider Information

NPI Number	:	1396775847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RATAN L TIWARI M.D.

Provider Business Mailing Address
First Line	:	949 CALHOUN PL
Second Line	:	SUITE D
City	:	HEMET
State	:	CA
Zip	:	92543-4403
Country	:	US
Telephone Number	:	951-652-8000
Fax Number	:	951-929-6431

Provider Business Practice Location Address
First Line	:	949 CALHOUN PL
Second Line	:	SUITE D
City	:	HEMET
State	:	CA
Zip	:	92543-4403
Country	:	US
Telephone Number	:	951-652-8000
Fax Number	:	951-929-6431

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	07/29/2015

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