Individual
DR. MAITRAYA D THAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4385 JOHNS CREEK PKWY STE 200, SUWANEE, GA 30024-6094
(770) 349-9861
Mailing address
1975 HIGHWAY 54 W STE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000650
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
N004044-1
NY
Other
Enumeration date
05/09/2006
Last updated
03/21/2023
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