Individual
ASTHA THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23 SUNNYBROOK RD, SUITE 220, RALEIGH, NC 27610-1855
(919) 350-2873
(919) 235-1388
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-2266
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
2022-01978
NC
207RH0003X
Hematology & Oncology Physician
Primary
2022-01978
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114303989
—
NC
Enumeration date
08/04/2015
Last updated
10/21/2024
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