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NPI Code Detail

MEDICARE: TALAT GHAUS MD

MEDICARE: TALAT GHAUS 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
12084P0804XChild & Adolescent Psychiatry Physician36078928IL

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 : 1689623472
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALAT GHAUS MD
Provider Business Mailing Address
First Line : 135 N OAK ST
Second Line :
City : HINSDALE
State : IL
Zip : 60521-3860
Country : US
Telephone Number : 630-856-6865
Fax Number : 630-856-6813
Provider Business Practice Location Address
First Line : 135 N OAK ST
Second Line :
City : HINSDALE
State : IL
Zip : 60521-3860
Country : US
Telephone Number : 630-856-8900
Fax Number : 630-856-8923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 04/29/2020

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