1922188572 NPI number — DR. RAMAN KUMAR TALWAR MD

Table of content: DR. RAMAN KUMAR TALWAR MD (NPI 1922188572)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922188572 NPI number — DR. RAMAN KUMAR TALWAR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TALWAR
Provider First Name:
RAMAN
Provider Middle Name:
KUMAR
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TALWAR
Provider Other First Name:
RAMAN
Provider Other Middle Name:
KUMAR
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1922188572
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 900568
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALMDALE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93590-0568
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-916-9416
Provider Business Mailing Address Fax Number:
661-793-6688

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
38780 TRADE CENTER DR
Provider Second Line Business Practice Location Address:
SUITE 1C
Provider Business Practice Location Address City Name:
PALMDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93551-3641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-916-9416
Provider Business Practice Location Address Fax Number:
661-793-6688
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  35062068T , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208600000X , with the licence number: A40062 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0838731 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com