Individual
GAURANG THAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 ROCKVILLE PIKE, SUITE 208, ROCKVILLE, MD 20852-3142
(301) 881-5858
(301) 260-2838
Mailing address
PO BOX 157, ASHTON, MD 20861-0157
(301) 570-9700
(301) 260-2838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D43430
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
446361700
—
MD
Enumeration date
07/05/2006
Last updated
07/09/2007
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