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Individual
DR. THIRATH CHAU
Active
Individual
DR. THIRATH CHAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036127335
IL
207Q00000X
Family Medicine Physician
Primary
2019-01621
NC
207Q00000X
Family Medicine Physician
42559
AL
207Q00000X
Family Medicine Physician
ME108063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036127335
MEDICAL LICENSE
IL
01
—
ME108063
MEDICAL LICENSE
FL
01
—
TRN12590
TRAINING LICENSE
FL
Enumeration date
06/26/2008
Last updated
06/29/2022
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