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NPI Code Detail

MEDICARE: DR. AMA TYUS MD

MEDICARE:  DR. AMA  TYUS  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
1207Q00000XFamily Medicine PhysicianMD035123DC

General Provider Information

NPI Number : 1093862435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMA TYUS MD
Provider Business Mailing Address
First Line : 3424 N ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-2958
Country : US
Telephone Number : 202-436-0629
Fax Number :
Provider Business Practice Location Address
First Line : 3424 N ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-2958
Country : US
Telephone Number : 202-491-5687
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 07/21/2022

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Directions to “ DR. AMA TYUS MD” Practice Location

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