Healthcare Provider Details

I. General information

NPI: 1528132271
Provider Name (Legal Business Name): SHEKHAR C THAKUR MDPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 NORTH AVE
BATTLE CREEK MI
49017-3463
US

IV. Provider business mailing address

PO BOX 2360
BATTLE CREEK MI
49016-2360
US

V. Phone/Fax

Practice location:
  • Phone: 269-565-1111
  • Fax: 269-565-1900
Mailing address:
  • Phone: 269-565-1111
  • Fax: 269-565-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301059115
License Number StateMI

VIII. Authorized Official

Name: SHEKHAR C THAKUR
Title or Position: PRESIDENT
Credential:
Phone: 269-565-1111