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NPI Code Detail

MEDICARE: YUAN-HUA NIMISH THAKORE MD

MEDICARE:   YUAN-HUA NIMISH THAKORE  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
12084P0800XPsychiatry Physician35-079979OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19911775OTHEROHMEDICARE GROUP

General Provider Information

NPI Number : 1053356527
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUAN-HUA NIMISH THAKORE MD
Provider Business Mailing Address
First Line : 4400 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3734
Country : US
Telephone Number : 216-431-5800
Fax Number :
Provider Business Practice Location Address
First Line : 99 NORTHLINE CIR
Second Line :
City : EUCLID
State : OH
Zip : 44119-1482
Country : US
Telephone Number : 216-692-8803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 08/27/2024

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Directions to “ YUAN-HUA NIMISH THAKORE MD” Practice Location

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