Provider Demographics
NPI:1861753220
Name:TALCHERKAR, PADMAVATHI ANAND (MD)
Entity type:Individual
Prefix:DR
First Name:PADMAVATHI
Middle Name:ANAND
Last Name:TALCHERKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 S FULLER AVE APT 403E
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-5368
Mailing Address - Country:US
Mailing Address - Phone:323-513-2073
Mailing Address - Fax:213-736-7742
Practice Address - Street 1:430 S FULLER AVE APT 403E
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-5368
Practice Address - Country:US
Practice Address - Phone:323-513-2073
Practice Address - Fax:213-736-7742
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51572208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics