Provider Demographics
NPI:1437464344
Name:TOTAL FAMILY CARE LLC
Entity Type:Organization
Organization Name:TOTAL FAMILY CARE LLC
Other - Org Name:SIMITA UDAYA TALWAR, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SIMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALWAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-960-2708
Mailing Address - Street 1:1302 CRONSON BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-2064
Mailing Address - Country:US
Mailing Address - Phone:410-451-1301
Mailing Address - Fax:
Practice Address - Street 1:1302 CRONSON BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2064
Practice Address - Country:US
Practice Address - Phone:410-960-2708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060832207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH98077Medicare UPIN
MD226LH250Medicare PIN