Deepak Thiagarajan, A Professional Medical Corporation

LBN: Deepak Thiagarajan, A Professional Medical Corporation
Deepak Thiagarajan, A Professional Medical Corporation is an health care organization with primary practice located at 7974 Haven Ave Ste 210 , Rancho Cucamonga CA 91730-3052. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Deepak Thiagarajan, A Professional Medical Corporation can be contacted via phone (909) 881-5994, or through Thiagarajan, Deepak via phone (909) 921-3920.

Contact Information

Primary practice address
7974 Haven Ave Ste 210 Rancho Cucamonga CA 91730-3052
Fax:
Website:
Authorized official contact:
Name: Thiagarajan, Deepak Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A113059 California

Profile Details

NPI number 1043658644
LBN Legal business name Deepak Thiagarajan, A Professional Medical Corporation
DBA Doing business as
Authorized official Thiagarajan, Deepak Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2013
Last updated Apr 4th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043658644 NPPES
California MEDICAID 7516240

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