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NPI Code Detail

MEDICARE: KRISHNA TEWARI MD

MEDICARE: KRISHNA TEWARI 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
1207R00000XInternal Medicine PhysicianME107206FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00844094OTHERFLRR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1871788745
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISHNA TEWARI MD
Provider Business Mailing Address
First Line : 203 N MARION ST FL 2
Second Line :
City : TAMPA
State : FL
Zip : 33602-4914
Country : US
Telephone Number : 813-474-9804
Fax Number : 813-540-6025
Provider Business Practice Location Address
First Line : 203 N MARION ST FL 2
Second Line :
City : TAMPA
State : FL
Zip : 33602-4914
Country : US
Telephone Number : 813-474-9804
Fax Number : 813-540-6025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2007
Last Update Date : 11/15/2023

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