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Individual

DR. PANKAJ THAKUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3471 FIFTH AVENUE, KAUFMANN BUILDING SUITE 402, PITTSBURGH, PA 15213
(412) 692-4572
(412) 692-4515
Mailing address
3600 FORBES AVE STE 140, PITTSBURGH, PA 15213-3410

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
309757
LA
207L00000X
Anesthesiology Physician
Primary
MT199578
PA
207Q00000X
Family Medicine Physician
5821
NE
207Q00000X
Family Medicine Physician
MD443133
PA
207SG0201X
Clinical Genetics (M.D.) Physician
MD443133
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014582
MEDICARE
PA
05
1007288440104
PA
01
MD443133
FELLOW-UPMC
PA
Enumeration date
08/20/2008
Last updated
04/05/2022
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