Provider Demographics
NPI:1497916654
Name:RAMAN K. TALWAR, MD, INC
Entity Type:Organization
Organization Name:RAMAN K. TALWAR, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PURCELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-229-2622
Mailing Address - Street 1:920 W MARKET ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-2773
Mailing Address - Country:US
Mailing Address - Phone:419-224-5888
Mailing Address - Fax:
Practice Address - Street 1:920 W MARKET ST
Practice Address - Street 2:SUITE 310
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2773
Practice Address - Country:US
Practice Address - Phone:419-224-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0838731Medicaid
OH0838731Medicaid