MEDICARE: CHITTA THIAGARAJAH 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	A33498	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1982696944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHITTA THIAGARAJAH M.D.

Provider Business Mailing Address
First Line	:	1672 W AVENUE J
Second Line	:	SUITE 209
City	:	LANCASTER
State	:	CA
Zip	:	93534-2827
Country	:	US
Telephone Number	:	661-729-6854
Fax Number	:	661-729-6864

Provider Business Practice Location Address
First Line	:	44725 10TH ST W
Second Line	:	SUITE 110
City	:	LANCASTER
State	:	CA
Zip	:	93534-3033
Country	:	US
Telephone Number	:	661-949-9966
Fax Number	:	661-949-9926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	10/26/2011

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