Tewatia, Tarun
Tewatia, Tarun is an individual health care provider with primary practice located at 2200 W Eau Gallie Blvd Ste 200 , Melbourne FL 32935-3166. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tewatia, Tarun can be contacted via phone (321) 253-2900.Contact Information
Primary practice address
2200 W Eau Gallie Blvd Ste 200
Melbourne FL 32935-3166
Phone: (321) 253-2900
Fax: (321) 435-0100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME94994 | Florida |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME94994 | Florida |
Profile Details
NPI number | 1285679209 |
---|---|
LBN Legal business name | Tewatia, Tarun |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2006 |
Last updated | Dec 22nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285679209 | NPPES |
Florida | Other | 37007 | BLUE SHIELD OF FL |
Florida | MEDICAID | 274705700 | BLUE SHIELD OF FL |
Florida | Other | NC895 | BLUE SHIELD OF FL |
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