Tikku, Sunita

Tikku, Sunita is an individual health care provider with primary practice located at 1061 Medical Center Dr Ste 205 , Orange City FL 32763-8226. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Tikku, Sunita can be contacted via phone (386) 917-7610.

Contact Information

Primary practice address
1061 Medical Center Dr Ste 205 Orange City FL 32763-8226
Phone: (386) 917-7610
Fax: (386) 917-7615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA07725800 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME100501 Florida

Profile Details

NPI number 1962587139
LBN Legal business name Tikku, Sunita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Oct 11th, 2019 - about 5 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 1962587139 NPPES
New Jersey MEDICAID 4144007

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