DR. BABURAJ THANKAPPAN (NPI# 1770752248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770752248 |
| Entity Type | Individual |
| Full Name | DR. BABURAJ THANKAPPAN |
| Credential | M.D |
| Practice Address |
3915 Talbot Rd S Suite 104 Renton WA 98055-5738 |
| Practice Telephone | 4256565566 |
| Practice Fax Number | 4256565567 |
| Mailing Telephone | 4256565566 |
| Mailing Fax Number | 4256565567 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2014-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD60118975 | WA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A102993 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301083145 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3915 TALBOT RD S SUITE 104 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663173 | Howard Nicholas Straub | Ophthalmology | 3915 Talbot Rd S, Ste 310, Renton, WA 98055-5738 | 2005-07-18 |
| 1265098891 | Kendra Raquel Fitzpatrick | Nurse Practitioner | 3915 Talbot Rd S, Renton, WA 98055-5738 | 2019-05-20 |
| 1710458559 | Trevor Romo | Physician Assistant | 3915 Talbot Rd S, Renton, WA 98055-5738 | 2018-12-05 |
| 1801370697 | Caylin Hunter Cheney | Registered Nurse | 3915 Talbot Rd S, Suite 200, Renton, WA 98055 | 2018-09-18 |
| 1295226355 | Kristin June Braden Thai | Student in an Organized Health Care Education/Training Program | 3915 Talbot Rd S, Renton, WA 98055-5738 | 2018-05-24 |
| 1275989881 | Josh Huhndorf | Family Medicine | 3915 Talbot Rd S, Suite 401, Renton, WA 98055-5738 | 2016-05-12 |
| 1245686948 | Karena Lynn Whitworth | Family Medicine | 3915 Talbot Rd S, Suite 401, Renton, WA 98055-5738 | 2016-05-11 |
| 1932555620 | Erin Mclaughlin | Family Medicine | 3915 Talbot Rd S, Suite 401, Renton, WA 98055-5738 | 2016-05-11 |
| 1508212200 | Pnina Strasbourger | Family Medicine | 3915 Talbot Rd S, Suite 401, Renton, WA 98055-5738 | 2016-05-11 |
| 1225484926 | Garima Ajmani | Family Medicine | 3915 Talbot Rd S, Suite 401, Renton, WA 98055-5738 | 2016-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154648608 | Jennifer Han | Psychiatry & Neurology | 4033 Talbot Rd S Ste 520, Renton, WA 98055-5774 | 2010-04-23 |
| 1619363983 | Derek William Wood | Psychiatry & Neurology | 400 S 43rd St, Renton, WA 98055-5714 | 2015-04-13 |
| 1215371935 | Makeda E Agonafer | Psychiatry & Neurology | 400 S 43rd St, Renton, WA 98055-5714 | 2013-04-24 |
| 1831485846 | Jennifer Lelia Davis | Psychiatry & Neurology | 400 S 43rd St, Renton, WA 98055-5714 | 2011-06-28 |
| 1609161181 | Sophia P Wang | Psychiatry & Neurology | 400 S 43rd St, Renton, WA 98055-5714 | 2011-06-13 |
| 1336464247 | Krista Kawaguchi | Psychiatry & Neurology | 400 S 43rd St, Renton, WA 98055-5714 | 2010-04-02 |
| 1982815676 | Sophia Huang Shao Cheng | Psychiatry & Neurology | 3915 Talbot Rd S, Ste 104, Renton, WA 98055-5738 | 2007-05-24 |
| 1730207143 | Chang B. Shin | Psychiatry & Neurology | 4300 Talbot Rd S, Suite 303, Renton, WA 98055-6238 | 2007-03-26 |
| 1023103033 | Don Q. Thai | Psychiatry & Neurology | 3915 Talbot Rd S, Ste 104, Renton, WA 98055-5738 | 2006-10-04 |
| 1598877565 | Michael Charles Previti | Psychiatry & Neurology | 3915 Talbot Rd S, Ste 104, Renton, WA 98055-5738 | 2006-08-31 |
| Find all providers in RENTON | ||||
Please comment or provide details below to improve the information on DR. BABURAJ THANKAPPAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.