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NPI Code Detail

MEDICARE: PARTH THAKER MD

MEDICARE:   PARTH  THAKER  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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RG0100XGastroenterology Physician036165471IL

General Provider Information

NPI Number : 1467080820
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARTH THAKER MD
Provider Business Mailing Address
First Line : 1135 S DELANO CT E UNIT E720
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3457
Country : US
Telephone Number : 504-919-0442
Fax Number :
Provider Business Practice Location Address
First Line : 1135 S DELANO CT E UNIT E720
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3457
Country : US
Telephone Number : 504-919-0442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 04/02/2024

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Directions to “ PARTH THAKER MD” Practice Location

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