Provider Demographics
NPI:1538181730
Name:TIWARI, RAM (MD)
Entity type:Individual
Prefix:DR
First Name:RAM
Middle Name:
Last Name:TIWARI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1739 WILLIAMSBRIDGE RD
Mailing Address - Street 2:BRONX
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-6203
Mailing Address - Country:US
Mailing Address - Phone:718-824-1560
Mailing Address - Fax:718-409-5213
Practice Address - Street 1:1739 WILLIAMSBRIDGE RD
Practice Address - Street 2:BRONX
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-6203
Practice Address - Country:US
Practice Address - Phone:718-824-1560
Practice Address - Fax:718-409-5213
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2013-01-24
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Provider Licenses
StateLicense IDTaxonomies
NY133418207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00279850Medicaid
NYB13339Medicare UPIN