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NPI Code Detail

MEDICARE: DR. TEKCHAND THAKURDIAL DPM

MEDICARE: DR. TEKCHAND THAKURDIAL DPM
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
1213E00000XPodiatrist005476NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538142955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TEKCHAND THAKURDIAL DPM
Provider Business Mailing Address
First Line : 628 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3202
Country : US
Telephone Number : 718-431-8885
Fax Number : 718-431-2966
Provider Business Practice Location Address
First Line : 628 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3202
Country : US
Telephone Number : 718-431-8885
Fax Number : 718-431-2966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 05/22/2008

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