Provider Demographics
NPI:1457926669
Name:TIWARI, NISHANT RAJENDRA (MD)
Entity type:Individual
Prefix:MR
First Name:NISHANT
Middle Name:RAJENDRA
Last Name:TIWARI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:LOYOLA MEDICINE MCNEAL HOSPITAL 3249 SOUTH OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402
Mailing Address - Country:US
Mailing Address - Phone:708-783-3401
Mailing Address - Fax:
Practice Address - Street 1:800 NE 10TH ST FL 6
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5418
Practice Address - Country:US
Practice Address - Phone:405-271-8001
Practice Address - Fax:405-271-3020
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2024-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK43744207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology