Individual
KETAN KANTILAL THANKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5320 S RAINBOW BLVD STE 302, LAS VEGAS, NV 89118-1896
(702) 382-8222
(702) 563-3390
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(702) 382-8222
(702) 563-3390
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21638
NV
208C00000X
Colon & Rectal Surgery Physician
Primary
21638
NV
208C00000X
Colon & Rectal Surgery Physician
A203266
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2013
Last updated
08/26/2025
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