MEDICARE: DR. VIKRAM TALWAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	A69678	CA
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	A69678	CA

General Provider Information

NPI Number	:	1164499901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIKRAM TALWAR MD

Provider Business Mailing Address
First Line	:	1320 EL CAPITAN DR
Second Line	:	SUITE 200
City	:	DANVILLE
State	:	CA
Zip	:	94526-6258
Country	:	US
Telephone Number	:	925-275-0700
Fax Number	:	925-275-0701

Provider Business Practice Location Address
First Line	:	1320 EL CAPITAN DR
Second Line	:	SUITE 200
City	:	DANVILLE
State	:	CA
Zip	:	94526-6258
Country	:	US
Telephone Number	:	925-275-0700
Fax Number	:	925-275-0701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	03/23/2017

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