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NPI Code Detail

MEDICARE: BIMALKUMAR A. TALATI M.D.

MEDICARE: BIMALKUMAR A. TALATI 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
1207R00000XInternal Medicine PhysicianL8528TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659312015
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIMALKUMAR A. TALATI M.D.
Provider Business Mailing Address
First Line : 13219 DOTSON RD
Second Line : STE 210
City : HOUSTON
State : TX
Zip : 77070-4308
Country : US
Telephone Number : 281-640-8352
Fax Number : 281-640-8357
Provider Business Practice Location Address
First Line : 13219 DOTSON RD
Second Line : STE 210
City : HOUSTON
State : TX
Zip : 77070-4308
Country : US
Telephone Number : 281-640-8352
Fax Number : 281-640-8357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 11/10/2021

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