Tantuwaya, Vrijesh Shantanu

Tantuwaya, Vrijesh Shantanu is an sole proprietor health care provider with primary practice located at 12630 Monte Vista Rd Suite 105, Poway CA 92064-2530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Tantuwaya, Vrijesh Shantanu can be contacted via phone (858) 312-5016.

Contact Information

Primary practice address
12630 Monte Vista Rd Suite 105 Poway CA 92064-2530
Phone: (858) 312-5016
Fax: (858) 312-5018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X A79530 California

Profile Details

NPI number 1235134966
LBN Legal business name Tantuwaya, Vrijesh Shantanu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated May 3rd, 2013 - about 13 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 1235134966 NPPES
Arizona Other 45688 MEDICAL LICENSE

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