MEDICARE: NEERAJ TIRUNAGARI

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	183500000X	Pharmacist	052072	NY

General Provider Information

NPI Number	:	1760638225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEERAJ TIRUNAGARI

Provider Business Mailing Address
First Line	:	92 E 167TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-8203
Country	:	US
Telephone Number	:	718-410-2814
Fax Number	:	718-410-2824

Provider Business Practice Location Address
First Line	:	92 E 167TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-8203
Country	:	US
Telephone Number	:	718-410-2814
Fax Number	:	718-410-2824

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

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	02/01/2023

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Directions to “ NEERAJ TIRUNAGARI ” Practice Location

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