DEEPAK THIAGARAJAN MD NPI 1205052990

NPI Information

NPI: 1205052990
Provider Name: DEEPAK THIAGARAJAN, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
7755 CENTER AVE STE 630
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (657) 400-5014
Get Directions

Deepak Thiagarajan, MD is a geriatric medicine internal medicine in Huntington Beach, CA with 22 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Deepak Thiagarajan, MD NPI is 1205052990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7755 CENTER AVE STE 630
HUNTINGTON BEACH, CA
ZIP 92647-152
Phone: (657) 400-5014
Fax: (844) 698-7227

The NPI 1205052990 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 3/18/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD12318	RHODE ISLAND	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	LP00988	RHODE ISLAND	No
3	207RG0300X	Internal Medicine	Geriatric Medicine	A 113059	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32935-4	OTHER	RHODE ISLAND	BCBS
2	AA91479	OTHER	RHODE ISLAND	HPHC - MIRIAM
3	DT68425	MEDICAID	RHODE ISLAND
4	007059525	MEDICARE PIN	RHODE ISLAND
5	414203	OTHER	RHODE ISLAND	BLUECHIP

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: 11/14/2023

NPI Synchronization or Removal

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