Individual
HARSHADA P THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-3014
(718) 635-5722
Mailing address
112 BEVERLY HILLS TER APT A, WOODBRIDGE, NJ 07095-4040
(732) 750-4311
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
249696
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032919
—
NJ
Enumeration date
02/13/2008
Last updated
12/15/2015
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