Individual
PARTH UDAYAN THAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 448-7619
Mailing address
220 N MERIDIAN ST APT 1510, INDIANAPOLIS, IN 46204-2381
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
010931478A
IN
208800000X
Urology Physician
Primary
01093147A
IN
208800000X
Urology Physician
4301518044
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104166807
ANTHEM PTAN
IN
05
—
300090581
—
IN
Enumeration date
04/09/2019
Last updated
08/11/2026
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