Provider Demographics
NPI:1609072149
Name:TALWAR, NIROO BALRAM (MD)
Entity Type:Individual
Prefix:
First Name:NIROO
Middle Name:BALRAM
Last Name:TALWAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIROO
Other - Middle Name:TALWAR
Other - Last Name:DUTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21224 SKY VISTA DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34637-7459
Mailing Address - Country:US
Mailing Address - Phone:813-995-9954
Mailing Address - Fax:
Practice Address - Street 1:21224 SKY VISTA DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34637-7459
Practice Address - Country:US
Practice Address - Phone:813-995-9954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 954492085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G86064Medicare UPIN