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NPI Code Detail

MEDICARE: PRAFULCHADRA K TILVA MD

MEDICARE:   PRAFULCHADRA K TILVA  MD
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
12085R0202XDiagnostic Radiology PhysicianMD019302EPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00427548OTHERPARAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1003899469
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRAFULCHADRA K TILVA MD
Provider Business Mailing Address
First Line : THREE GATEWAY CENTER, 20TH FLOOR
Second Line : 401 LIBERTY AVENUE, SUITE 2000
City : PITTSBURGH
State : PA
Zip : 15222
Country : US
Telephone Number : 412-223-2272
Fax Number : 412-281-6320
Provider Business Practice Location Address
First Line : 350 N 11TH ST
Second Line :
City : SUNBURY
State : PA
Zip : 17801-1611
Country : US
Telephone Number : 570-286-3470
Fax Number : 570-286-3397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 10/27/2008

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Directions to “ PRAFULCHADRA K TILVA MD” Practice Location

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