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Individual

SHAIL THANKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
136 HOSPITAL DR STE 100, LAFAYETTE, LA 70503-2819
(337) 289-8282
Mailing address
136 HOSPITAL DR STE 100, LAFAYETTE, LA 70503-2819
(337) 289-8282

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
337329
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05/20/1987
DATE OF BIRTH
Enumeration date
06/29/2016
Last updated
05/11/2026
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