Individual
NEEL THAKKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 868-8217
Mailing address
2204 WATERLEAF CT UNIT 102, NAPERVILLE, IL 60564-4983
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OT020673
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT020673
PA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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