Tisha V Tipnis


Address: 2295 Ronald Reagan Pkwy, Suite 300, Snellville, GA 30078-5739

Tisha V Tipnis (NPI# 1457464885, PAC ID# 1557365285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.

Physician Overview

Nation Provider ID (NPI) 1457464885
PAC ID by PECOS 1557365285
Professional Enrollment ID I20060911000555
Full Name Tisha V Tipnis
Address 2295 Ronald Reagan Pkwy
Suite 300
Snellville
GA 30078-5739
Gender F
Credential MD
Graduation Year 2006
Primary Specialty HOSPITALIST
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110192 EASTSIDE MEDICAL CENTER

Other Locations

Address Phone Organization
2295 Ronald Reagan Pkwy, Suite 300, Snellville, GA 30078-5739

Organization Information

Office Location

Street Address 2295 RONALD REAGAN PKWY
SUITE 300
City SNELLVILLE
State GA
Zip 30078-5739

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Competitor

Search similar physicians

City SNELLVILLE
Zip Code 30078
Specialty HOSPITALIST
City + Specialty SNELLVILLE + HOSPITALIST

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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