Individual
NIRAV K. THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 W EAU GALLIE BLVD STE 200, MELBOURNE, FL 32935-3166
(321) 253-2900
(321) 435-0100
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 253-2900
(321) 435-0100
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101252586
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME150365
FL
208M00000X
Hospitalist Physician
0101252586
VA
Other
Enumeration date
09/05/2012
Last updated
02/27/2023
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