Individual
DR. HEMANT KRISHNA THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 LINWOOD BOULEVARD, VA MEDICAL CENTER, KANSAS CITY, MO 64128
(816) 922-2647
(816) 922-3346
Mailing address
13706 W 75TH PL, LENEXA, KS 66216-4229
(913) 631-4790
(913) 725-9324
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23030 KANSAS
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23030
LICENSE NUMBER
KS
Enumeration date
07/17/2006
Last updated
07/08/2007
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