Tirado Gonzalez, Mariantonieta

Tirado Gonzalez, Mariantonieta is an individual health care provider with primary practice located at 930 Madison Ave Ste 890 , Memphis TN 38103-3413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as her primary health care specialty. Tirado Gonzalez, Mariantonieta can be contacted via phone (901) 866-8834.

Contact Information

Primary practice address
930 Madison Ave Ste 890 Memphis TN 38103-3413
Phone: (901) 866-8834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 2019025553 Missouri
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 2019025553 Missouri
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 60822 Tennessee

Profile Details

NPI number 1396025060
LBN Legal business name Tirado Gonzalez, Mariantonieta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated May 8th, 2020 - 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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