Individual
YUAN-HUA NIMISH THAKORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
99 NORTHLINE CIR, EUCLID, OH 44119-1482
(216) 692-8803
Mailing address
4400 EUCLID AVE, CLEVELAND, OH 44103-3734
(216) 431-5800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-079979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9911775
MEDICARE GROUP
OH
Enumeration date
06/18/2006
Last updated
08/27/2024
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