Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 31158 | AZ |
Y | 207RI0011X | Interventional Cardiology | 31158 | AZ |
NPI | 1093793267 |
---|---|
Provider Name | Dr. Ajay Tuli |
First Address | Tucson, AZ 85719-1563 |
Second Address | Tucson, AZ 85704-2946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 17/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
758302 | (05) | AZ |
H79424 | (02) |