Tyagi, Som Dutt

Tyagi, Som Dutt is an individual health care provider with primary practice located at 500 W Votaw St , Portland IN 47371-1322. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Tyagi, Som Dutt can be contacted via phone (260) 726-7131.

Contact Information

Primary practice address
500 W Votaw St Portland IN 47371-1322
Phone: (260) 726-7131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301092355 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01072112A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01072112A Indiana

Profile Details

NPI number 1366698177
LBN Legal business name Tyagi, Som Dutt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2008
Last updated Mar 10th, 2022 - about 3 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 1366698177 NPPES
Indiana Other 01072112A LICENSE

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