Individual
VIKAS THAKRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101240503
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407939713
—
VA
01
—
P00405819
RAILROAD MEDICARE
VA
Enumeration date
10/23/2006
Last updated
11/07/2007
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