Individual
DR. RAJENDER S THAKRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14762 KINAI RD, APPLE VALLEY, CA 92307-5120
(760) 242-0715
(760) 242-1354
Mailing address
14762 KINAI RD, APPLE VALLEY, CA 92307-5120
(760) 242-0715
(760) 242-1354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A55039
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A55039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A550391
—
CA
Enumeration date
08/10/2006
Last updated
06/14/2012
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