Dr. Anurag D Tiwary
Surgeon Trauma Surgeon
4904 Timber Ridge Dr Ste 104
Douglasville
, Georgia 30135
Dr. Anurag D Tiwary
Surgeon Trauma Surgeon
4904 Timber Ridge Dr Ste 104
Douglasville
, Georgia 30135
(770) 942-4822
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About
Features
Specialties
- Surgeon
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Anurag D Tiwary
- 4904 Timber Ridge Dr Ste 104
- Douglasville, GA
- Zip : 30135-1831
- Phone : (770) 942-4822
Second Address
- Dr. Anurag D Tiwary
- 4904 Timber Ridge Dr Ste 104
- Douglasville, GA
- Zip : 30135
- Phone : (770) 942-4822
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 83687 | GA |
| Y | 208600000X | Surgeon | 83687 | GA |
| N | 208200000X | Surgeon | ME0062882 | FL |
| N | 208600000X | Surgeon | ME0062882 | FL |
| N | 2086S0127X | Trauma Surgeon | MD2005-0136 | NM |
National Provider Identifier
| NPI | 1164404620 |
|---|---|
| Provider Name | Dr. Anurag D Tiwary |
| First Address | Douglasville, GA 30135-1831 |
| Second Address | Douglasville, GA 30135 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2005 |
| Last Update Date | 07/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 372631200 | (05) | FL |
| F55411 | (02) | |
| P00747066 | MEDICARE RAILROAD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.