Provider Demographics
NPI:1053165233
Name:SAWANT, TIRTHA VIJAYKUMAR (MD)
Entity type:Individual
Prefix:MS
First Name:TIRTHA
Middle Name:VIJAYKUMAR
Last Name:SAWANT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TEXAS HEALTH RESOURCES
Mailing Address - Street 2:1600 HOSPITAL PARKWAY
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022
Mailing Address - Country:US
Mailing Address - Phone:817-848-2993
Mailing Address - Fax:682-212-0901
Practice Address - Street 1:TEXAS HEALTH RESOURCES
Practice Address - Street 2:1600 HOSPITAL PARKWAY
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022
Practice Address - Country:US
Practice Address - Phone:817-848-2993
Practice Address - Fax:682-212-0901
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program