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DEEPAK THIAGARAJAN A PROFESSIONAL MEDICAL CORPORATION NPI 1043658644


NPI Information

NPI: 1043658644
Provider Name: DEEPAK THIAGARAJAN, A PROFESSIONAL MEDICAL CORPORATION
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D2262479

Address:
7974 HAVEN AVE STE 210
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 881-5994
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DEEPAK THIAGARAJAN, A PROFESSIONAL MEDICAL CORPORATION is an internal medicine in Rancho Cucamonga, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DEEPAK THIAGARAJAN, A PROFESSIONAL MEDICAL CORPORATION NPI is 1043658644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7974 HAVEN AVE STE 210
RANCHO CUCAMONGA, CA
ZIP 91730-052
Phone: (909) 881-5994

The provider's authorized official is Deepak Thiagarajan .
The authorized official title is Owner and has the following contact phone number (909) 921-3920.

The CLIA number assigned to this NPI record is 05D2262479 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2013 and was last updated on 4/4/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA113059CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17516240MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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