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Individual
MRS. NELAMBARI THAKRAL
Active
Individual
MRS. NELAMBARI THAKRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4968695
—
MI
01
—
650H230490
BCBS BCN
MI
01
—
7451962
AETNA
MI
01
—
P00627865
RAILROAD MEDICARE
MI
Enumeration date
12/05/2006
Last updated
06/12/2018
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