Individual
DR. GUNVANT K THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13215 BROOK LANE, HAGERSTOWN, MD 21742-1514
(301) 733-0330
(301) 733-4038
Mailing address
13121 BROOKLANE DR, HAGERSTOWN, MD 21742-1514
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0030062
MD
Other
Enumeration date
09/12/2006
Last updated
10/11/2016
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