Individual
ABHASH CHANDRA THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 PROFESSIONAL PL, GREENWOOD, MS 38930-9633
(662) 451-7881
Mailing address
PO BOX 1410, ATTN: CLINIC ADMINISTRATION, GREENWOOD, MS 38935-1410
(662) 459-7285
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18893
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04532717
—
MS
01
—
P00394157
MEDICARE RAILROAD
MS
Enumeration date
03/15/2006
Last updated
10/19/2023
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