Individual provider · NPI-1

Vsevolod Tikhomirov, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Munster, IN

NPI number1790989150
StatusActive
Last updated in NPPESMar 4, 2014

Details

NPI
1790989150
Entity type
Individual (NPI-1)
Name
Vsevolod Tikhomirov
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 12, 2007
Last updated
Mar 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)01071523AINYes

Practice location

801 Macarthur Blvd
Ste 204
Munster, IN 46321-2915

Phone 219-836-4220 · Fax 219-836-4171

Mailing address

801 Macarthur Blvd
Ste 204
Munster, IN 46321-2915

Phone 219-836-4220 · Fax 219-836-4171

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Munster, IN