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NPI Code Detail

MEDICARE: MS. KIREN TUSHAR NP

MEDICARE:  MS. KIREN  TUSHAR  NP
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
1363LF0000XFamily Nurse PractitionerAPRN-NP293288GA

General Provider Information

NPI Number : 1114858586
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIREN TUSHAR NP
Provider Business Mailing Address
First Line : 985 DOGWOOD PARK DR
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30046-9335
Country : US
Telephone Number : 678-895-3592
Fax Number :
Provider Business Practice Location Address
First Line : 2035 FLAT SHOALS RD SE
Second Line :
City : CONYERS
State : GA
Zip : 30013-1809
Country : US
Telephone Number : 770-922-1778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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