Individual
PRADEEP V THAKARE
Active
Individual
PRADEEP V THAKARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
08305
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01636822
—
MS
05
—
1527882
—
LA
01
—
P00258364
RR MEDICARE
—
Enumeration date
08/25/2006
Last updated
09/26/2007
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