Individual
JAI DEEP THAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 CENTER ST, MOBILE, AL 36604-1541
(516) 605-5108
(251) 660-5792
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD.40438
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/02/2013
Last updated
10/07/2020
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