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NPI Verification

National Provider Identifier: 1528327731

Tynese Simone Anderson, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1021 W 5TH AVE

GARY, IN 464021703

Phone: 219-880-1190

NPI Enumeration Date

May 8, 2012

NPI Number

1528327731

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry