Provider Demographics
NPI:1922188572
Name:TALWAR, RAMAN KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMAN
Middle Name:KUMAR
Last Name:TALWAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAMAN
Other - Middle Name:KUMAR
Other - Last Name:TALWAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 900568
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93590-0568
Mailing Address - Country:US
Mailing Address - Phone:661-916-9416
Mailing Address - Fax:661-793-6688
Practice Address - Street 1:38780 TRADE CENTER DR
Practice Address - Street 2:SUITE 1C
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-3641
Practice Address - Country:US
Practice Address - Phone:661-916-9416
Practice Address - Fax:661-793-6688
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35062068T208600000X
CAA40062208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0838731Medicaid
OH0696562Medicare ID - Type Unspecified
OH0838731Medicaid