Individual
RAJU P THAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1918 RANDOLPH RD, SUITE 580, CHARLOTTE, NC 28207
(704) 384-9900
(704) 384-9919
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9900
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2009-01260
NC
207RP1001X
Pulmonary Disease Physician
61289
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915852
—
NC
Enumeration date
11/02/2007
Last updated
06/20/2023
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