Individual
ATHARVA THAKORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
Mailing address
2008 CARIBOU DR, FORT COLLINS, CO 80525-4325
(970) 484-4757
(970) 484-4759
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35566
NE
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0070218
CO
2085R0202X
Diagnostic Radiology Physician
TL7766
WY
Other
Enumeration date
03/29/2017
Last updated
07/25/2023
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