Individual
MR. PRIYESH THAKURATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
(603) 640-1228
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
070795
CT
207R00000X
Internal Medicine Physician
Primary
35152
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
12/16/2025
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