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Individual

ANJANI KUMAR THAKUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
840 DELBON AVE, TURLOCK, CA 95382-2005
(209) 656-7400
(209) 656-7418
Mailing address
220 STANDIFORD AVE, F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
A66588
CA
207P00000X
Emergency Medicine Physician
A66588
CA
208600000X
Surgery Physician
A66588
CA
2086S0129X
Vascular Surgery Physician
A66588
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A665880
CA
Enumeration date
05/26/2006
Last updated
02/25/2025
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