Organization
ADVANCED CARDIO-VASCULAR SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANPAT GOPALJI THAKKER MD (MEMBER/MANAGER)
(304) 345-5460
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 902, CHARLESTON, WV 25304-1223
(304) 345-5460
(304) 345-5575
Mailing address
3100 MACCORKLE AVE SE, SUITE 902, CHARLESTON, WV 25304-1223
(304) 345-5460
(304) 345-5575
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12498
WV
Other
Enumeration date
10/17/2006
Last updated
04/17/2008
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