Organization
ANJANI THAKUR, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJANI KUMAR THAKUR M.D. (OWNER/ MEDICAL DIRECTOR)
(209) 656-7400
Entity
Organization
Contact information
Practice address
840 DELBON AVE, TURLOCK, CA 95382-2005
(209) 661-4403
(209) 656-7418
Mailing address
220 STANDIFORD AVE, SUITE F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A66588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A665880
BLUE SHIELD
CA
05
—
00A665880
—
CA
01
—
DD2771
RAILROAD MEDICARE
CA
Enumeration date
08/10/2006
Last updated
05/11/2020
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