MEDICARE: SIMITA U. TALWAR M.D.

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	207Q00000X	Family Medicine Physician	D0060832	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
11	P00137877	OTHER	MD	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7611526	OTHER	MD	AETNA FEE FOR SERVICE
3	2162109	OTHER	MD	MAMSI SPECIALIST
4	7605-0064	OTHER	MD	CAREFIRST BLUECHOICE
5	5802923	OTHER	MD	CIGNA PIN
6	121128	OTHER	MD	JHHC PROVIDER NUMBER
7	3352166	OTHER	MD	AETNA CAPITATED
8	629962-02	OTHER	MD	CAREFIRST MD RENDERING
9	P16222	OTHER	MD	CAREFIRST MPOS
10	8162109	OTHER	MD	MAMSI PRIMARY CARE

General Provider Information

NPI Number	:	1245222082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMITA U. TALWAR M.D.

Provider Business Mailing Address
First Line	:	1302 CRONSON BLVD
Second Line	:	SUITE E
City	:	CROFTON
State	:	MD
Zip	:	21114-2064
Country	:	US
Telephone Number	:	410-451-1301
Fax Number	:	410-451-1037

Provider Business Practice Location Address
First Line	:	1302 CRONSON BLVD
Second Line	:	SUITE E
City	:	CROFTON
State	:	MD
Zip	:	21114-2064
Country	:	US
Telephone Number	:	410-451-1301
Fax Number	:	410-451-1037

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	02/08/2011

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Directions to “ SIMITA U. TALWAR M.D.” Practice Location

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