Organization
GERIGUIDEMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONAL SONIA THAKUR MD (CMD/GERIATRICS)
(801) 718-3808
Entity
Organization
Contact information
Practice address
19565 ASTER LN, BEND, OR 97702-2111
(801) 718-3808
Mailing address
19565 ASTER LN, BEND, OR 97702-2111
(801) 718-3808
(541) 383-7662
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD152920
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NO INSURERS YET
—
Enumeration date
10/16/2017
Last updated
02/04/2026
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