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NPI Code Detail

MEDICARE: YAOWAINART TIPTUS M.D.

MEDICARE:   YAOWAINART  TIPTUS  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
1207V00000XObstetrics & Gynecology PhysicianA 33803CA

General Provider Information

NPI Number : 1396871513
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAOWAINART TIPTUS M.D.
Provider Business Mailing Address
First Line : 1416 PIERCE RANCH RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95120-4565
Country : US
Telephone Number : 408-268-6578
Fax Number :
Provider Business Practice Location Address
First Line : 1416 PIERCE RANCH RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95120-4565
Country : US
Telephone Number : 408-268-6578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/08/2007

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Directions to “ YAOWAINART TIPTUS M.D.” Practice Location

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