Individual
DR. TINA S. THAKRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Mailing address
14412 PIPERS TER, MIDLOTHIAN, VA 23114-4344
(518) 221-3179
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
54402
AZ
2084P0800X
Psychiatry Physician
Primary
64896
MN
2084P0804X
Child & Adolescent Psychiatry Physician
54402
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2012
Last updated
07/21/2022
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