Healthcare Provider Details

I. General information

NPI: 1225020522
Provider Name (Legal Business Name): KULDEEP SINGH TALWAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27700 NORTHWEST FWY STE 460
CYPRESS TX
77433-6766
US

IV. Provider business mailing address

1400 GRAHAM DR STE B276
TOMBALL TX
77375-4603
US

V. Phone/Fax

Practice location:
  • Phone: 832-838-6088
  • Fax: 832-838-0922
Mailing address:
  • Phone: 229-300-3584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number053186
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number053186
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberK9683
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: