Healthcare Provider Details

I. General information

NPI: 1124202155
Provider Name (Legal Business Name): KUNJAN P THAKOR MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5930 W PARKER RD STE 600
PLANO TX
75093-6420
US

IV. Provider business mailing address

5930 WEST PARKER ROAD ;SUITE 600
PLANO TX
75093
US

V. Phone/Fax

Practice location:
  • Phone: 972-378-3242
  • Fax: 972-378-3206
Mailing address:
  • Phone: 972-378-3242
  • Fax: 972-378-3206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KUNJAN P THAKOR
Title or Position: PRESIDENT
Credential: MD
Phone: 972-378-3242