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NPI Code Detail

MEDICARE: DR. VANITA MALIK-TALWAR O.D.

MEDICARE:  DR. VANITA  MALIK-TALWAR  O.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
1152W00000XOptometrist046-009706IL
2152W00000XOptometrist8346TTX

General Provider Information

NPI Number : 1700908118
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VANITA MALIK-TALWAR O.D.
Provider Business Mailing Address
First Line : 7004 HELENA WAY
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-4465
Country : US
Telephone Number : 847-533-5816
Fax Number :
Provider Business Practice Location Address
First Line : 2662 W LUCAS RD
Second Line :
City : LUCAS
State : TX
Zip : 75002-7513
Country : US
Telephone Number : 972-649-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2007
Last Update Date : 09/26/2016

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Directions to “ DR. VANITA MALIK-TALWAR O.D.” Practice Location

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