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1568446870

NPI Code Detail

MEDICARE: MOHAN CHAND THAKURI MD

MEDICARE: MOHAN CHAND THAKURI 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	207RH0000X	Hematology (Internal Medicine) Physician	200101145	NC
2	207RX0202X	Medical Oncology Physician	200101145	NC
3	207RH0003X	Hematology & Oncology Physician	200101145	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1294W	OTHER	NC	BCBSNC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	B1082	OTHER	NC	MEDCOST

General Provider Information

NPI Number	:	1568446870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAN CHAND THAKURI MD

Provider Business Mailing Address
First Line	:	PO BOX 749495
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9495
Country	:	US
Telephone Number	:	239-432-8331
Fax Number	:	813-321-1296

Provider Business Practice Location Address
First Line	:	551 BREVARD RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-2316
Country	:	US
Telephone Number	:	828-212-7021
Fax Number	:	828-232-8218

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	01/10/2023

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Directions to “ MOHAN CHAND THAKURI MD” Practice Location

Language	Start Address	Practice Location

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