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NPI Code Detail

MEDICARE: DR. FREDELITO B TIU M.D.

MEDICARE: DR. FREDELITO B TIU M.D.
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
1207P00000XEmergency Medicine Physician27319AZ
2207Q00000XFamily Medicine Physician27319AZ

Other Identifiers

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

General Provider Information

NPI Number : 1346240843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDELITO B TIU M.D.
Provider Business Mailing Address
First Line : 4801 E BROADWAY BLVD STE 251
Second Line :
City : TUCSON
State : AZ
Zip : 85711-3633
Country : US
Telephone Number : 520-327-0460
Fax Number : 520-795-0225
Provider Business Practice Location Address
First Line : 6565 E CARONDELET DR STE 275
Second Line :
City : TUCSON
State : AZ
Zip : 85710-3529
Country : US
Telephone Number : 520-298-0417
Fax Number : 520-298-7404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 04/07/2026

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Directions to “ DR. FREDELITO B TIU M.D.” Practice Location

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