Provider Demographics
NPI:1407805070
Name:TALWALKAR, JANAK RAMESH (MD)
Entity type:Individual
Prefix:DR
First Name:JANAK
Middle Name:RAMESH
Last Name:TALWALKAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:799 E BRANNON RD
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-6038
Mailing Address - Country:US
Mailing Address - Phone:859-971-4695
Mailing Address - Fax:859-971-4604
Practice Address - Street 1:1760 NICHOLASVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1410
Practice Address - Country:US
Practice Address - Phone:859-899-7950
Practice Address - Fax:859-260-5150
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2020-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY40417207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64121262Medicaid
KY64121262Medicaid
KYK125500Medicare PIN
KY0688560001Medicare NSC
KY1226706Medicare PIN