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General NPI Number Information
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NPI Number | 1437361870
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Entity Type | Individual
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Provider Name | VATSAL G. THAKKAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 1720 POST RD E SUITE 223
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City | WESTPORT
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State | CT
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Zip | 06880-5643
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Country | US
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Telephone | 203-220-6390
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Fax | 203-220-6384
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Provider Business Mailing Address
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Address Line | 1720 POST RD E SUITE 223
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City | WESTPORT
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State | CT
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Zip | 06880-5643
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Country | US
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Telephone | 203-220-6390
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Fax | 203-220-6384
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 60-238210
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 49932
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 49932
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License Number State | CT
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