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General NPI Number Information
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NPI Number | 1184820995
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Entity Type | Organization
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Legal Business Name | RAMU THIAGARAJAN MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 382 NORTH PEARSON DR.
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City | PORTERVILLE
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State | CA
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Zip | 93257-3368
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Country | US
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Telephone | 559-783-0100
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Fax | 559-783-0200
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Provider Business Mailing Address
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Address Line | 382 NORTH PEARSON DR.
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City | PORTERVILLE
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State | CA
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Zip | 93257-3368
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Country | US
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Telephone | 559-783-0100
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Fax | 559-783-0200
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMU THIAGARAJAN
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Credential | M.D.
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Telephone | 559-783-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | A95502
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A95502
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License Number State | CA
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