Individual
ASHISH THAPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2330 S DIXON RD, KOKOMO, IN 46902-6400
(765) 455-5400
(765) 865-3912
Mailing address
2330 S DIXON RD, KOKOMO, IN 46902-6411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01065108A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200909920
—
IN
01
—
P01298930
MEDICARE RR PTAN
IN
Enumeration date
05/29/2007
Last updated
03/29/2021
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