Active NPIIndividual provider

Keerti Thalayur, MD

Pediatrics in West Deptford, New Jersey

NPI Number1194047068
Practice location
646 Kings Hwy, West Deptford, NJ 08096
Fax
856-879-2855
Last updated
August 28, 2018

Keerti Thalayur is a Pediatrics based in West Deptford, NJ. Keerti Thalayur practices in West Deptford, NJ and has the professional credentials of MD. The NPI Number for Keerti Thalayur is 1194047068 and holds a License No. 25MA08950300 (NJ). The current practice location address for Keerti Thalayur is 646 Kings Hwy, West Deptford, NJ 08096 and can be reached out via phone at 856-879-2887 and via fax at 856-879-2855.

Provider Profile Details

NPI Number
1194047068
Provider Name
Keerti Thalayur
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
646 Kings Hwy, West Deptford, NJ 08096
Phone Number
856-879-2887
Fax Number
856-879-2855
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2010
Last Update Date
August 28, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
646 Kings Hwy
West Deptford, NJ 08096
Zip
08096
Phone Number
856-879-2887
Fax Number
856-879-2855
West Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
117 Oakridge Dr
Mount Royal, NJ 08061-1097
City
Mount Royal
State
NJ
Zip
08061-1097
Phone Number
201-233-0896

License Information

License Number (2)
25MA08950300
License State (2)
NJ
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keerti Thalayur, MD?

The NPI number of Keerti Thalayur, MD is 1194047068. It was assigned on February 19, 2010 and is currently active in the NPPES registry.

What is the specialty of Keerti Thalayur, MD?

Keerti Thalayur, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA08950300.

Where does Keerti Thalayur, MD practice?

The practice location is 646 Kings Hwy, West Deptford, NJ 08096. The office can be reached at 856-879-2887 (phone) or 856-879-2855 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194047068 directly on the NPPES registry website.

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