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
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
010931478A
IN
208800000X
Urology Physician
Primary
01093147A
IN
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
03/13/2025
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