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NPI Code Detail

MEDICARE: DR. RAHUL KAMALAKANT THALY M.D.

MEDICARE:  DR. RAHUL KAMALAKANT THALY  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
1208800000XUrology Physician36231AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598811713
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAHUL KAMALAKANT THALY M.D.
Provider Business Mailing Address
First Line : 10200 GRAND CENTRAL AVE STE 220
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4366
Country : US
Telephone Number : 623-935-5522
Fax Number :
Provider Business Practice Location Address
First Line : 18699 N 67TH AVE STE 230
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-7147
Country : US
Telephone Number : 623-935-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 01/05/2026

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Directions to “ DR. RAHUL KAMALAKANT THALY M.D.” Practice Location

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