Individual
SANKET RAJENDRAKUMAR THAKORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
300 CEDAR ST # 5425, NEW HAVEN, CT 06519-1612
(281) 710-8660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1.063425-RES
CT
207R00000X
Internal Medicine Physician
Primary
1.066404
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1.063425-RES
CT
207RP1001X
Pulmonary Disease Physician
1.063425-RES
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
07/20/2013
Last updated
09/09/2020
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