Tallam, Janardan R

Tallam, Janardan R is an individual health care provider with primary practice located at 1044 Belmont Ave , Youngstown OH 44504-1006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tallam, Janardan R can be contacted via phone (330) 746-7211.

Contact Information

Primary practice address
1044 Belmont Ave Youngstown OH 44504-1006
Fax: (330) 480-3916
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35052347T Ohio

Profile Details

NPI number 1255316204
LBN Legal business name Tallam, Janardan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255316204 NPPES
Ohio MEDICAID 0602708
Ohio Other 001000622-0001
Ohio Other P00360142

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