Organization
RAMU THIAGARAJAN MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMU THIAGARAJAN M.D. (PRESIDENT)
(559) 783-0100
Entity
Organization
Contact information
Practice address
382 NORTH PEARSON DR., PORTERVILLE, CA 93257-3368
(559) 783-0100
(559) 783-0200
Mailing address
382 NORTH PEARSON DR., PORTERVILLE, CA 93257-3368
(559) 783-0100
(559) 783-0200
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
A95502
CA
2084N0400X
Neurology Physician
Primary
A95502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A955020
—
CA
01
—
ZZZ69517Z
BLUE SHIELD PIN
CA
Enumeration date
06/27/2007
Last updated
02/23/2023
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