Individual
ANUPAMA THAKRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01058915A
IN
2085R0001X
Radiation Oncology Physician
Primary
036.116244
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116244
—
IL
01
—
1616101
BCBS
IL
05
—
200288710
—
IN
01
—
218860
MEDICARE GROUP
IL
01
—
218890
MEDICARE GROUP
IL
Enumeration date
11/14/2005
Last updated
04/30/2021
Update your record
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