Organization
MINAXI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HETAL P THAKORE MD (OWNER)
(706) 267-7681
Entity
Organization
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
Mailing address
PO BOX 639030, CINCINNATI, OH 45263-9030
(859) 291-4800
(859) 291-4801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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