Individual
VIDHU THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-9949
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-9949
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
227354
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
227354
NY
Other
Enumeration date
11/09/2005
Last updated
08/31/2016
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