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Organization
PURNIMA THAKRAN MD INC
Active
Organization
PURNIMA THAKRAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PURNIMA THAKRAN M.D., PH.D. (OWNER)
(760) 242-0111
Entity
Organization
Contact information
Practice address
18387 US HIGHWAY 18, SUITES 1 & 2, APPLE VALLEY, CA 92307-2214
(760) 242-0111
(760) 242-0877
Mailing address
18387 US HIGHWAY 18, SUITES 1 & 2, APPLE VALLEY, CA 92307-2214
(760) 242-0111
(760) 242-0877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A52465
CA
Other
Enumeration date
11/09/2011
Last updated
04/03/2012
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