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General NPI Number Information
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NPI Number | 1154472785
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Entity Type | Organization
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Legal Business Name | NALLATHAMBY THAYAPRAN, MD, INC.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 240 N PORTER RD
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City | PORTERVILLE
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State | CA
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Zip | 93257-3140
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Country | US
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Telephone | 559-793-2677
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Fax | 559-793-2650
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Provider Business Mailing Address
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Address Line | 240 N PORTER RD
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City | PORTERVILLE
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State | CA
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Zip | 93257-3140
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Country | US
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Telephone | 559-793-2677
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Fax | 559-793-2650
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Authorized Official
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Title or Position | PRESIDENT
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Name | NALLATHAMBY THAYAPRAN
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Credential | MD
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Telephone | 559-793-2677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A66422
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License Number State | CA
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