Search › Maryland › 225100000X
Evan Tirtaputra, DPT
NPI 1083001234 · on the registry since 2015 · sole proprietor
Practice
- Address
- 137 W High St Ste 3
Elkton, MD 21921 - Phone
- (410) 392-7027
- Fax
- (410) 392-5768
- Organisation at this address
- Ati Holding Llc
Ati Holdings, Llc
Ati Holdings, Llc
Nephrology Associates Pa
Union Hospital Of Cecil CountyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 810 S Broom St, Wilmington, DE
- 5345 Irwindale Ave, Irwindale, CA
- 810 S Broom St, Wilmington, DE
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X - Licence states on file
- ID, MD, DE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland