Healthcare Provider Details

I. General information

NPI: 1821006172
Provider Name (Legal Business Name): SARASWATHI B TIRUMALASETTY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 LEARNING WAY
TALLAHASSEE FL
32306-4178
US

IV. Provider business mailing address

1965 CAPITAL CIR NE STE 200
TALLAHASSEE FL
32308-8402
US

V. Phone/Fax

Practice location:
  • Phone: 850-644-6230
  • Fax: 850-644-4251
Mailing address:
  • Phone: 850-656-2006
  • Fax: 850-656-2820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number73496
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME49876
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberM-15862
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: