| Kirti Talole Md Inc | |
|
6301 Glade Ave K213 Woodland Hills CA 91367-1939 | |
| (818) 852-9320 | |
| (818) 350-1105 |
| Full Name | Kirti Talole Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6301 Glade Ave, Woodland Hills, California |
| Authorized Official Name and Position | Kirti Sopan Talole (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8188529320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirti Talole Md Inc 6301 Glade Ave K213 Woodland Hills CA 91367-1939 Ph: (818) 852-9320 | Kirti Talole Md Inc 6301 Glade Ave K213 Woodland Hills CA 91367-1939 Ph: (818) 852-9320 |
| NPI Number | 1053855486 |
|---|---|
| Provider Enumeration Date | 12/04/2016 |
| Last Update Date | 12/04/2016 |
| Medicare PECOS PAC ID | 9032491535 |
|---|---|
| Medicare Enrollment ID | O20170118000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053855486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C132757 (California) | Primary |
| Provider Name | Kirti S Talole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346579885 PECOS PAC ID: 5991838757 Enrollment ID: I20150219000002 |
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