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General NPI Number Information
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NPI Number | 1215391016
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Entity Type | Individual
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Provider Name | AAKAR THAKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 3993 LAWRENCEVILLE HWY NW STE 140
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City | LILBURN
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State | GA
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Zip | 30047-2873
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Country | US
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Telephone | 678-995-3610
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Fax | 807-698-5368
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Provider Business Mailing Address
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Address Line | 5724 BRENDLYNN DR
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City | SUWANEE
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State | GA
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Zip | 30024-7579
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 84787
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License Number State | GA
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