Doctor Name: | DR. NEHA TYAGI |
NPI Number: | 1518372986 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4301104929 |
Business Practice Address: | 1 Hurley Plz Suite 212 Flint, MI - 485035902 |
Business Phone Number: | 8102629080 |
Business Fax Number: | 8102627245 |
Mailing Address: | 11010 Hayes St, GRAND BLANC |
State: | MI |
Postal Code: | 484399397 |
Phone Number: | 8109382293 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2014 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 4301104929 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |