Individual
KAMLESH THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 FANNIN ST, SUITE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
6565 FANNIN ST, SUITE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G9228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133735410
—
TX
05
—
133735411
—
TX
05
—
133735412
—
TX
05
—
133735413
—
TX
01
—
616192200
US DEPT OF LABOR
TX
01
—
8DY895
BLUE CROSS BLUE SHIELD
TX
01
—
8V3834
BLUE CROSS BLUE SHIELD
TX
01
—
P01030521
RR MEDICARE
TX
01
—
P01333570
RR MEDICARE
TX
Enumeration date
06/24/2006
Last updated
07/08/2016
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