Doctor Name: | ANURAG TIKARIA |
NPI Number: | 1548484702 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 2601 Coolidge Rd Suite B East Lansing, MI - 488236361 |
Business Phone Number: | 5179134050 |
Business Fax Number: | 5173330893 |
Mailing Address: | 2601 Coolidge Rd, Suite B EAST LANSING |
State: | MI |
Postal Code: | 488236361 |
Phone Number: | 5179134050 |
Fax Number: | 5173330893 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
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. |