| Deepak Thiagarajan, A Professional Medical Corporation | |
|
7974 Haven Ave Ste 210 Rancho Cucamonga CA 91730-3052 | |
| (909) 881-5994 | |
| Not Available |
| Full Name | Deepak Thiagarajan, A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 7974 Haven Ave Ste 210, Rancho Cucamonga, California |
| Authorized Official Name and Position | Deepak Thiagarajan (OWNER) |
| Authorized Official Contact | 9099213920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepak Thiagarajan, A Professional Medical Corporation 5036 Rodeo Rd Alta Loma CA 91737-2408 Ph: (909) 921-3920 | Deepak Thiagarajan, A Professional Medical Corporation 7974 Haven Ave Ste 210 Rancho Cucamonga CA 91730-3052 Ph: (909) 881-5994 |
| NPI Number | 1043658644 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 8123260270 |
|---|---|
| Medicare Enrollment ID | O20130820000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043658644 | NPI | - | NPPES |
| 7516240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A113059 (California) | Primary |
| Provider Name | Deepak V Thiagarajan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205052990 PECOS PAC ID: 2961596085 Enrollment ID: I20110419000793 |
Carlos R. Vigil, D.o. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577 | |
Bluemedplus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10970 Arrow Rte Ste 205, Rancho Cucamonga, CA 91730 Phone: 909-446-2304 | |
California Foothills Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8211 Rochester Ave, Suite 101, Rancho Cucamonga, CA 91730 Phone: 909-945-2425 Fax: 909-948-6971 | |
Andrea Tieng, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10801 Foothill Blvd Ste 106, Rancho Cucamonga, CA 91730 Phone: 909-255-7200 Fax: 909-255-7215 | |
Prohealth Partners A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-483-1236 Fax: 909-344-3910 | |
Mihir K. Sanghvi, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5155 Seagreen Ct, Rancho Cucamonga, CA 91739 Phone: 951-323-5598 |