Provider Demographics
NPI:1881987063
Name:TULSHIAN, PRIYANKA B (MD)
Entity type:Individual
Prefix:
First Name:PRIYANKA
Middle Name:B
Last Name:TULSHIAN
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 1:284 CALLE LA MESA
Mailing Address - Street 2:
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94556-1646
Mailing Address - Country:US
Mailing Address - Phone:908-627-1529
Mailing Address - Fax:
Practice Address - Street 1:331 ILENE ST
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-2631
Practice Address - Country:US
Practice Address - Phone:908-627-1529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA130930207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine