| Ramu Thiagarajan Md Professional Corporation | |
|
382 North Pearson Dr. Porterville CA 93257-3368 | |
| (559) 783-0100 | |
| (559) 783-0200 |
| Full Name | Ramu Thiagarajan Md Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 382 North Pearson Dr., Porterville, California |
| Authorized Official Name and Position | Ramu Thiagarajan (PRESIDENT) |
| Authorized Official Contact | 5597830100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramu Thiagarajan Md Professional Corporation 382 North Pearson Dr. Porterville CA 93257-3368 Ph: (559) 783-0100 | Ramu Thiagarajan Md Professional Corporation 382 North Pearson Dr. Porterville CA 93257-3368 Ph: (559) 783-0100 |
| NPI Number | 1184820995 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Medicare PECOS PAC ID | 1759476856 |
|---|---|
| Medicare Enrollment ID | O20071004000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184820995 | NPI | - | NPPES |
| ZZZ69517Z | Other | CA | BLUE SHIELD PIN |
| 00A955020 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | A95502 (California) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | A95502 (California) | Primary |
| Provider Name | Ramu Thiagarajan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841203783 PECOS PAC ID: 8325133416 Enrollment ID: I20071004000401 |
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