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Organization
RUPA THACKER MD CORPORATION
Active
Organization
RUPA THACKER MD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPA THACKER MD (PRESIDENT)
(559) 336-4535
Entity
Organization
Contact information
Practice address
6255 N FRESNO ST STE 106, FRESNO, CA 93710-5271
(559) 336-4535
Mailing address
2465 E SUMMIT WAY, FRESNO, CA 93730-7054
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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