KAMAL KUMAR TIWARI M.D. NPI 1578558789

NPI Information

NPI: 1578558789
Provider Name: KAMAL KUMAR TIWARI, M.D.
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

Address:
2920 MCINTYRE DR
SUITE 150
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 333-7246
Get Directions

Kamal Kumar Tiwari, M.D. is an interventional pain medicine pain medicine in Bloomington, IN. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Kamal Kumar Tiwari, M.D. NPI is 1578558789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2920 MCINTYRE DR
SUITE 150
BLOOMINGTON, IN
ZIP 47403-221
Phone: (812) 333-7246
Fax: (812) 333-4471

The enumeration date for this NPI number is 9/14/2005 and was last updated on 2/12/2010.

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	207L00000X	Anesthesiology		01034945A	INDIANA	No
2	207LP2900X	Anesthesiology	Pain Medicine	01034945A	INDIANA	No
3	208VP0014X	Pain Medicine	Interventional Pain Medicine	01034945A	INDIANA	Yes

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	000000378036	OTHER	INDIANA	SIA ANTHEM
2	100184000C	MEDICAID	INDIANA
3	100184000J	MEDICAID	INDIANA
4	000000076245	OTHER	INDIANA	PMC ANTHEM
5	100184000E	MEDICAID	INDIANA
6	A81793	MEDICARE UPIN
7	100184000A	MEDICAID	INDIANA
8	546430A	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	SO INDIANA ANESTHESIOLOGY
9	050082645	MEDICARE PIN	INDIANA
10	100184000F	MEDICAID	INDIANA
11	100184000D	MEDICAID	INDIANA
12	547260AA	MEDICARE PIN	INDIANA

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: 4/28/2024

NPI Synchronization or Removal

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