Individual
DR. NEIL THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7200 W BELL RD STE F101, GLENDALE, AZ 85308-8535
(602) 795-8700
(602) 795-8701
Mailing address
20280N 59TH AVE 115-617, GLENDALE, AZ 85308-6850
(602) 795-8700
(602) 795-8701
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
005883
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22486
—
AZ
01
—
Z179741
PTAN
AZ
Enumeration date
07/10/2007
Last updated
07/08/2024
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