DR. SUPRIYA MARUTI TIGADI M.D NPI 1932435195

NPI Information

NPI: 1932435195
Provider Name: DR. SUPRIYA MARUTI TIGADI, M.D
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: UNIVERSITY OF CONNECTICUT HEALTH CENTER

PECOS Registration: Yes

Address:
263 FARMINGTON AVE
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-3343
Get Directions

DR. Supriya Maruti Tigadi, M.D is a cardiovascular disease internal medicine in Farmington, CT with 18 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Supriya Maruti Tigadi, M.D NPI is 1932435195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

263 FARMINGTON AVE
FARMINGTON, CT
ZIP 06030-082
Phone: (860) 679-3343
Fax: (860) 679-4256

The NPI 1932435195 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/22/2009 and was last updated on 7/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		51029	CONNECTICUT	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	051029	CONNECTICUT	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51029	OTHER	CONNECTICUT	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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