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NPI Code Detail

MEDICARE: RAVINDER TIKOO M.D.

MEDICARE: RAVINDER TIKOO 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
12084N0400XNeurology Physician198252NY
22084N0400XNeurology Physician25MA08433600NJ

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 : 1780713255
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAVINDER TIKOO M.D.
Provider Business Mailing Address
First Line : 9225 KENNEDY BLVD
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-5361
Country : US
Telephone Number : 201-869-2707
Fax Number :
Provider Business Practice Location Address
First Line : 9225 KENNEDY BLVD
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-5361
Country : US
Telephone Number : 201-869-2707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 04/24/2017

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Directions to “ RAVINDER TIKOO M.D.” Practice Location

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