Thiagarajan, Deepak
Thiagarajan, Deepak is an sole proprietor health care provider with primary practice located at 7974 Haven Ave Ste 210 , Rancho Cucamonga CA 91730-3052. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Thiagarajan, Deepak can be contacted via phone (909) 881-5994.Contact Information
Primary practice address
7974 Haven Ave Ste 210
Rancho Cucamonga CA 91730-3052
Phone: (909) 881-5994
Fax: (909) 248-7769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD12318 | Rhode Island |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | LP00988 | Rhode Island |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A 113059 | California |
Profile Details
| NPI number | 1205052990 |
|---|---|
| LBN Legal business name | Thiagarajan, Deepak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Apr 4th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205052990 | NPPES |
| Rhode Island | Other | 414203 | BLUECHIP |
| Rhode Island | MEDICAID | DT68425 | BLUECHIP |
| Rhode Island | Other | AA91479 | BLUECHIP |
| Rhode Island | Other | 32935-4 | BLUECHIP |
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