Organization Active NPI

Takyar, PLLC.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1902184112
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34308 Issued in AZ
Legal business name
TAKYAR, PLLC.
Practice address
1702 W Anklam Rd
Suite 111
Tucson, AZ 85745-2606
Phone
(520) 749-3031
Fax
(240) 252-5668
NPI assigned
Jul 22, 2011
Last updated
Jul 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Harinder K Takyar, MD
Title
President
Phone
(520) 749-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 34308 AZ Primary

Addresses

Primary practice location

1702 W Anklam Rd
Suite 111
Tucson, AZ 85745-2606

Mailing address

5216 N Sabino Hills Dr
Tucson, AZ 85749-7120
Phone (520) 749-3031

Other identifiers 1

IdentifierTypeStateIssuer
507437MedicaidAZ

National Provider Directory

National Provider Directory

Locations

450 W Adamsville Rd
#B
Florence, AZ 85132

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

6336 E Brown Rd
Ste 103
Mesa, AZ 85205
Phone (480) 357-2727

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1902184112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 N SABINO HILLS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857497120",
            "telephone_number": "520-749-3031",
            "fax_number": "240-252-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 W ANKLAM RD",
            "address_2": "SUITE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452606",
            "telephone_number": "520-749-3031",
            "fax_number": "240-252-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKYAR, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "TAKYAR",
        "authorized_official_first_name": "HARINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-749-3031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507437",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.