Individual
ASISH GOVIND THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 293-4997
(614) 293-3073
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-4997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.013813
OH
207RN0300X
Nephrology Physician
Primary
35096943
OH
208M00000X
Hospitalist Physician
35.096943
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
12/18/2007
Last updated
07/09/2014
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