Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD17439 | RI |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 01080497A | IN |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2008007864 | MO |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD17439 | RI |
NPI | 1326225202 |
---|---|
Provider Name | Dr. Methodius G Tuuli |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Providence, RI 02903-4829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2008 |
Last Update Date | 02/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1326225202 | (05) | MO |
300017100 | (05) | IN |
ENROLLED | (05) | IL |