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Individual
SHANTANU KUMAR THAKUR
Active
Individual
SHANTANU KUMAR THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A119550
CA
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
A119550
CA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
35.130014
OH
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
46236
AZ
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A119550
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A119550
CA
Other
Enumeration date
08/01/2008
Last updated
07/29/2024
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