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NPI Code Detail

MEDICARE: VISHAL DHIRAJLAL THUMAR MD

MEDICARE: VISHAL DHIRAJLAL THUMAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianA163419CA
2390200000XStudent in an Organized Health Care Education/Training Program163419CA

General Provider Information

NPI Number : 1275039794
Entity Type Code : Individual
Provider Name (Legal Business Name) : VISHAL DHIRAJLAL THUMAR MD
Provider Business Mailing Address
First Line : 7595 ANAGRAM DR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-7399
Country : US
Telephone Number : 612-573-2200
Fax Number : 612-573-2274
Provider Business Practice Location Address
First Line : 7595 ANAGRAM DR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-7399
Country : US
Telephone Number : 612-573-2200
Fax Number : 612-573-2274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 05/28/2026

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Directions to “ VISHAL DHIRAJLAL THUMAR MD” Practice Location

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