Dr Mary Tilak P C in Highland - Obesity Medicine

Dr Mary Tilak P C - NPI 1003096900

Dr Mary Tilak P C is a Obesity Medicine in Highland, Indiana. Dr Mary Tilak P C practices all healthcare services and medical treatments related to Obesity Medicine. The NPI Number for Dr Mary Tilak P C is 1003096900. The last update date is 2011-04-14.

Dr Mary Tilak P C's current location address is 2241 45th St, Highland, Indiana. You can contact this provider via phone number 2199228051 and fax number 2199228608. The mailing address for Dr Mary Tilak P C is 2241 45th St, Highland, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dr Mary Tilak P C
Address 2241 45th St, Highland, Indiana
Phone Number 2199228051
Fax Number 2199228608
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Tilak N. Mary
Credentials M.D.
Telephone Number 2199228051

NPI Number Detail

NPI Number 1003096900
Provider Enumeration Date 2007-11-07
Last Updated Date 2011-04-14

Provider Mailing Address Detail

Address 2241 45th St
City Highland
State Indiana (IN)
Post Code 463222601
Phone Number 2199228051
Fax Number 2199228608

Provider's Primary Taxonomy Detail

Speciality Obesity Medicine
Taxonomy 207Rb0002X
Definition:
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
541656 IN ANTHEM
90001352 IL BC/BS

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FAQs about Dr Mary Tilak P C

What is the unique 10-digit identifier code issued to Dr Mary Tilak P C by the Centers for Medicare & Medicaid Services?

The Dr Mary Tilak P C has been assigned the NPI (National Provider Identifier) 1003096900 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Dr Mary Tilak P C is located?

The Dr Mary Tilak P C is situated at the following address: 2241 45Th St, Highland, IN, 463222601.

What is the area of specialization for Dr Mary Tilak P C, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dr Mary Tilak P C is Obesity Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rb0002X.

On what date did the Dr Mary Tilak P C receive the assignment of its 1003096900 from the Centers for Medicare & Medicaid Services?

The Dr Mary Tilak P C was issued its 1003096900 by the Centers for Medicare & Medicaid Services on 2007-11-07.

When was the information regarding Dr Mary Tilak P C most recently updated?

The details pertaining to the Dr Mary Tilak P C, including its address, specialty, and other relevant information, were last refreshed on 2011-04-14.

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