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NPI 1245790195

NPI 1245790195 : NAKUL SUHAS TALATHI MD : LUTHERVILLE, MD

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General NPI Number Information
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    NPI Number           |    1245790195
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    Entity Type          |    Individual 
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    Provider Name        |    NAKUL SUHAS TALATHI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/25/2019
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    Last Update Date     |    08/08/2025
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Provider Practice Location Address
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    Address Line         |    10803 FALLS RD 
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    City                 |    LUTHERVILLE
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    State                |    MD
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    Zip                  |    21093-4518
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    Country              |    US
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    Telephone            |    443-997-3370
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6201 GREENLEIGH AVE 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21220-2004
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    Country              |    US
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    Telephone            |    410-933-6423
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207XP3100X
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    Taxonomy Name        |    Pediatric Orthopaedic Surgery Physician
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    License Number       |    MT231852
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    D0103890
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    License Number State |    MD
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