Individual
DR. RAMU THIAGARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
382 NORTH PEARSON DRIVE, PORTERVILLE, CA 93257-3368
(559) 783-0100
(559) 783-0200
Mailing address
382 N. PEARSON DR., PORTERVILLE, CA 93257-3368
(559) 783-0100
(559) 783-0200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A95502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A955020
BLUE SHIELD PIN
CA
05
—
00A955020
—
CA
01
—
ZZZ05543Z
MEDICARE GROUP PTAN
CA
01
—
ZZZ69517Z
BLUE SHIELD GROUP PIN
CA
Enumeration date
08/14/2006
Last updated
03/27/2024
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