Tiwari, Sumit
Tiwari, Sumit is an individual health care provider with primary practice located at 4600 Memorial Dr Ste W1 , Belleville IL 62226-5359. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Tiwari, Sumit can be contacted via phone (618) 233-3066.Contact Information
Primary practice address
4600 Memorial Dr Ste W1
Belleville IL 62226-5359
Phone: (618) 233-3066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12760 | North Dakota |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 12760 | North Dakota |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036153016 | Illinois |
Profile Details
| NPI number | 1215048574 |
|---|---|
| LBN Legal business name | Tiwari, Sumit |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 12th, 2021 - 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 | 1215048574 | NPPES |
| North Dakota | MEDICAID | 18920 |
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