Individual
DR. PRIYA MAYUR THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
611 E DOUGLAS RD STE 101, MISHAWAKA, IN 46545-1464
(574) 335-6817
(574) 335-0732
Mailing address
2111 S WABASH AVE APT 2104, CHICAGO, IL 60616-1794
(224) 465-4459
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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