Individual
DR. DEVAUNSH MANISH THAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-3072
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-3072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
86199
SC
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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