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
Fax: (321) 435-0100
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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