Organization
DOCTORS TIKU PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMKAR N TIKU M.D. (PRESIDENT)
(575) 445-5548
Entity
Organization
Contact information
Practice address
130 S 3RD ST, RATON, NM 87740-3910
(575) 445-5548
(575) 445-5560
Mailing address
PO BOX 968, RATON, NM 87740-0968
(575) 445-5548
(575) 445-5560
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
76-108
NM
208600000X
Surgery Physician
Primary
76-109
NM
Other
Enumeration date
02/16/2007
Last updated
07/29/2008
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