MEDICARE: DR. LOKESH KUMAR TEJWANI 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	207RC0000X	Cardiovascular Disease Physician	2001010882	MO
2	207RC0000X	Cardiovascular Disease Physician	2008-00136	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060065493	OTHER	MO	RAILROAD MEDICARE
3	P00419300	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1457302754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOKESH KUMAR TEJWANI MD

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-316-3131
Fax Number	:	704-316-3132

Provider Business Practice Location Address
First Line	:	1401 MATTHEWS TOWNSHIP PKWY STE 110
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-5403
Country	:	US
Telephone Number	:	704-316-3131
Fax Number	:	704-316-3132

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	01/26/2024

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