MEDICARE: DR. SANJEEV Y TULI 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
1	208000000X	Pediatrics Physician	48517	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194767749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANJEEV Y TULI MD

Provider Business Mailing Address
First Line	:	PO BOX 918025
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-8025
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 HARBORSIDE DR
Second Line	:
City	:	GALVESTON
State	:	TX
Zip	:	77555-0001
Country	:	US
Telephone Number	:	409-772-3695
Fax Number	:	409-772-3680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	12/27/2024

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