Individual
DR. OMKAR NATH TIKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
208600000X
Surgery Physician
Primary
76-109
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27912
—
NM
Enumeration date
10/06/2006
Last updated
07/29/2008
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