# DILIP M THAKKER PHYSICIAN PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dilip m thakker md
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598901720
- **Authorized official:** DR. DILIP M THAKKER MD (OWNER)
- **Authorized official phone:** (518) 725-6868

## Contact information

- **Practice address:** 10 E 9TH AVE, GLOVERSVILLE, NY 12078-1629
- **Practice address phone:** (518) 725-6868
- **Practice address fax:** (518) 725-6263
- **Mailing address:** 10 EAST 9 AVE., GLOVERSVILLE, NY 12078-1629
- **Mailing address phone:** (518) 725-6868
- **Mailing address fax:** (518) 725-6263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 186146-1 | NY | Yes |

## Other

- **Enumeration date:** 12/17/2008
- **Last updated:** 12/17/2008
