Tiyyagura, Sandeep
Tiyyagura, Sandeep is an sole proprietor health care provider with primary practice located at 140 Grandview Ave Suite 101, Waterbury CT 06708-2505. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Tiyyagura, Sandeep can be contacted via phone (203) 597-9733.Contact Information
Primary practice address
140 Grandview Ave Suite 101
Waterbury CT 06708-2505
Phone: (203) 597-9733
Fax: (203) 597-9732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 048549 | Connecticut |
Profile Details
| NPI number | 1982882882 |
|---|---|
| LBN Legal business name | Tiyyagura, Sandeep |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2008 |
| Last updated | Oct 20th, 2010 - about 16 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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