Individual
KEYA THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY STREET, APC 4, PROVIDENCE, RI 02903
(401) 444-4700
(401) 444-6681
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 228-7248
(401) 784-4913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01352
RI
363A00000X
Physician Assistant
PA7379
MA
Other
Enumeration date
06/24/2019
Last updated
01/13/2026
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