Individual
SAMIR INDRAVADAN THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.P.H.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 349-8310
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 349-8310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD466002
PA
Other
Enumeration date
05/10/2011
Last updated
05/15/2019
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