Individual
MOHAN CHAND THAKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 BREVARD RD, ASHEVILLE, NC 28806-2316
(828) 212-7021
(828) 232-8218
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
200101145
NC
207RH0003X
Hematology & Oncology Physician
Primary
200101145
NC
207RX0202X
Medical Oncology Physician
200101145
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1294W
BCBSNC
NC
05
—
891294W
—
NC
01
—
B1082
MEDCOST
NC
Enumeration date
11/30/2005
Last updated
01/10/2023
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