# MINAXI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326663998
- **Authorized official:** HETAL P THAKORE MD (OWNER)
- **Authorized official phone:** (706) 267-7681

## Contact information

- **Practice address:** 350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
- **Practice address phone:** (803) 278-4272
- **Mailing address:** PO BOX 639030, CINCINNATI, OH 45263-9030
- **Mailing address phone:** (859) 291-4800
- **Mailing address fax:** (859) 291-4801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2020
- **Last updated:** 06/10/2020