Tiwari, Kamal Kumar
Tiwari, Kamal Kumar is an individual health care provider with primary practice located at 2920 Mcintyre Dr Suite 150, Bloomington IN 47403-4221. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Tiwari, Kamal Kumar can be contacted via phone (812) 333-7246.Contact Information
Primary practice address
2920 Mcintyre Dr Suite 150
Bloomington IN 47403-4221
Phone: (812) 333-7246
Fax: (812) 333-4471
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01034945A | Indiana |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01034945A | Indiana |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01034945A | Indiana |
Profile Details
NPI number | 1578558789 |
---|---|
LBN Legal business name | Tiwari, Kamal Kumar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2005 |
Last updated | Feb 12th, 2010 - about 14 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 | 1578558789 | NPPES |
Indiana | MEDICAID | 100184000D | |
Indiana | MEDICAID | 100184000J | |
Indiana | Other | 000000076245 | |
Indiana | MEDICAID | 100184000A | |
Indiana | MEDICAID | 100184000C | |
Indiana | Other | 000000378036 | |
Indiana | MEDICAID | 100184000E | |
Indiana | MEDICAID | 100184000F |
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