Individual
BHAVNA KAPURJI THAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
340 NW COMMERCE DR, LAKE CITY, FL 32055-4709
(386) 719-9000
Mailing address
340 NW COMMERCE DR, LAKE CITY, FL 32055-4709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70307
WI
208M00000X
Hospitalist Physician
70307
WI
208M00000X
Hospitalist Physician
MD191206
OR
208M00000X
Hospitalist Physician
ME128941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083617
—
WI
Enumeration date
03/21/2013
Last updated
05/16/2024
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