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NPI Code Detail

MEDICARE: TARANGINI T. PADHYA MD, PC

MEDICARE: TARANGINI T. PADHYA MD, PC
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
1207R00000XInternal Medicine Physician01055876IN

General Provider Information

NPI Number : 1477734366
Entity Type Code : Organization
Provider Name (Legal Business Name) : TARANGINI T. PADHYA MD, PC
Provider Business Mailing Address
First Line : 55 E 86TH AVE
Second Line : PO BOX 10645
City : MERRILLVILLE
State : IN
Zip : 46410-6382
Country : US
Telephone Number : 219-769-1670
Fax Number : 219-738-6714
Provider Business Practice Location Address
First Line : 209 E 86TH CT
Second Line : SUITE D
City : MERRILLVILLE
State : IN
Zip : 46410-6259
Country : US
Telephone Number : 219-736-9042
Fax Number : 219-736-9247
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : TARANGINI T. PADHYA
Credential : MD
Telephone Number : 219-736-9042
Provider Enumeration Date : 11/19/2007
Last Update Date : 02/26/2008

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