MEDICARE: MADHVI M THAKKAR 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
1	207R00000X	Internal Medicine Physician	9801089	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	110181322	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1188K	OTHER	NC	BCBSNC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	84155	OTHER	NC	MEDCOST
5	6719614	OTHER	NC	CIGNA HEALTHCARE

General Provider Information

NPI Number	:	1346234176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADHVI M THAKKAR MD

Provider Business Mailing Address
First Line	:	7200 CREEDMOOR RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-1710
Country	:	US
Telephone Number	:	919-327-1650
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 CREEDMOOR RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-1710
Country	:	US
Telephone Number	:	919-327-1650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	04/10/2026

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