Provider Demographics
NPI:1588673479
Name:PADHYA, TARANGINI T (MD)
Entity Type:Individual
Prefix:
First Name:TARANGINI
Middle Name:T
Last Name:PADHYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 E 86TH CT
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6259
Mailing Address - Country:US
Mailing Address - Phone:219-736-9042
Mailing Address - Fax:219-736-9247
Practice Address - Street 1:209 E 86TH CT
Practice Address - Street 2:
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
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055874A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F66012Medicare UPIN
IN249220CMedicare PIN