Individual
MAGENDRA THAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7957 US HIGHWAY 11, POTSDAM, NY 13676-3239
(315) 268-1644
(315) 265-7736
Mailing address
7957 US HIGHWAY 11, POTSDAM, NY 13676-3239
(315) 268-1644
(315) 265-7736
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
187003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01330116
—
NY
Enumeration date
07/14/2006
Last updated
06/24/2010
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