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

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.

Title

President

Phone

(575) 445-5548

Specialties & licenses 2

Addresses

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.