Doctors Tiku PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

76-109 Issued in NM

Legal business name

DOCTORS TIKU PC

Practice address

130 S 3Rd St
Raton, NM 87740-3910

Phone

(575) 445-5548

Fax

(575) 445-5560

NPI assigned

Feb 16, 2007

Last updated

Jul 29, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Omkar N Tiku, M.D.NPI 1750478202

Title

President

Phone

(575) 445-5548

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omkar Nath Tiku, M.D.

  • Surgery Physician
  • Raton, NM
  • NPI 1750478202
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1679617153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877400968",
            "telephone_number": "575-445-5548",
            "fax_number": "575-445-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 3RD ST",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877403910",
            "telephone_number": "575-445-5548",
            "fax_number": "575-445-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS TIKU PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "TIKU",
        "authorized_official_first_name": "OMKAR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-445-5548",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NM",
            "license": "76-108",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NM",
            "license": "76-109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Raton, NM
• Providers in Raton, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.