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Organization
VIJAYA THAKUR MD INC
Active
Organization
VIJAYA THAKUR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYA THAKUR MD (PRESIDENT)
(209) 668-2600
Entity
Organization
Contact information
Practice address
840 DELBON AVE, SUITE B, TURLOCK, CA 95382-2005
(209) 668-2600
(209) 668-2631
Mailing address
PO BOX 3218, TURLOCK, CA 95381-3218
(209) 668-2600
(209) 668-2631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A79868
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ29276Z
CORPORATION'S MEDICARE #
CA
Enumeration date
05/20/2006
Last updated
08/22/2020
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