Individual
DR. JAYA THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N WALNUT ST, CHILLICOTHE, OH 45601-2420
(407) 794-5007
Mailing address
281 BRAEWOOD DR, CHILLICOTHE, OH 45601-2102
(937) 581-1428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.098429
OH
390200000X
Student in an Organized Health Care Education/Training Program
MT194893
PA
Other
Enumeration date
07/01/2009
Last updated
12/29/2020
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