Organization
JASHVANTLAL K. THAKKAR, M. D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LEA HITE (BILLING CLERK)
(304) 342-8579
Entity
Organization
Contact information
Practice address
331 LAIDLEY ST, SUITE 208, CHARLESTON, WV 25301-1619
(304) 342-8579
(304) 342-8273
Mailing address
PO BOX 3739, CHARLESTON, WV 25337-3739
(304) 342-8579
(304) 342-8273
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17226
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000126000
—
WV
Enumeration date
03/09/2007
Last updated
08/22/2020
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