Provider Demographics
NPI:1528023736
Name:TALCHERKAR, ANAND Y (MD)
Entity Type:Individual
Prefix:DR
First Name:ANAND
Middle Name:Y
Last Name:TALCHERKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8051 W 186TH ST
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60487
Mailing Address - Country:US
Mailing Address - Phone:708-429-7039
Mailing Address - Fax:708-429-7395
Practice Address - Street 1:8051 W 186TH ST
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60487
Practice Address - Country:US
Practice Address - Phone:708-429-7039
Practice Address - Fax:708-429-7395
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036051800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL110221639OtherMEDICARE RAILROAD
IL036051800Medicaid
IL110221639OtherMEDICARE RAILROAD
IL672290Medicare ID - Type Unspecified