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Individual
SATYAM KUMAR THAKUR
Active
Individual
SATYAM KUMAR THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26113
MA
225100000X
Physical Therapist
Primary
PTL26113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100210464788
MASS HEALTH
MA
Enumeration date
06/13/2022
Last updated
03/27/2026
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