Individual
SHEETAL THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 W RIVER RD, APARTMENT #9107, TUCSON, AZ 85704-1464
(732) 824-2583
Mailing address
1925 W RIVER RD, APARTMENT #9107, TUCSON, AZ 85704-1464
(732) 824-2583
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51707
AZ
207P00000X
Emergency Medicine Physician
MT197572
PA
207P00000X
Emergency Medicine Physician
P5139
TX
390200000X
Student in an Organized Health Care Education/Training Program
MT197572
PA
Other
Enumeration date
05/17/2010
Last updated
09/06/2016
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