Provider Demographics
NPI:1477734366
Name:TARANGINI T. PADHYA MD, PC
Entity Type:Organization
Organization Name:TARANGINI T. PADHYA MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TARANGINI
Authorized Official - Middle Name:T
Authorized Official - Last Name:PADHYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-736-9042
Mailing Address - Street 1:55 E 86TH AVE
Mailing Address - Street 2:PO BOX 10645
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6382
Mailing Address - Country:US
Mailing Address - Phone:219-769-1670
Mailing Address - Fax:219-738-6714
Practice Address - Street 1:209 E 86TH CT
Practice Address - Street 2:SUITE D
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6259
Practice Address - Country:US
Practice Address - Phone:219-736-9042
Practice Address - Fax:219-736-9247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055876207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INF66012Medicare UPIN