Individual
MADHVI M THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7200 CREEDMOOR RD, RALEIGH, NC 27613-1710
(919) 327-1650
Mailing address
7200 CREEDMOOR RD, RALEIGH, NC 27613-1710
(919) 327-1650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9801089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110181322
RAILROAD MEDICARE
NC
01
—
1188K
BCBSNC
NC
01
—
6719614
CIGNA HEALTHCARE
NC
01
—
84155
MEDCOST
NC
05
—
891188K
—
NC
Enumeration date
09/08/2005
Last updated
04/10/2026
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