Provider Demographics
NPI:1568400596
Name:TAKYAR, HARINDER KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:HARINDER
Middle Name:KUMAR
Last Name:TAKYAR
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 1:5216 N SABINO HILLS DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-7120
Mailing Address - Country:US
Mailing Address - Phone:520-749-3031
Mailing Address - Fax:
Practice Address - Street 1:5216 N SABINO HILLS DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-7120
Practice Address - Country:US
Practice Address - Phone:520-749-3031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34308207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0786591OtherBCBS
IAP00472725OtherRAIL ROAD MEDICARE
AZ948416Medicaid
AZAZ0786591OtherBCBS
AZ948416Medicaid
AZZ139876Medicare PIN
AZ113442Medicare PIN
IAP00472725OtherRAIL ROAD MEDICARE