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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 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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