Individual
DR. SANJAY P THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1236 KNOXVILLE HWY, WARTBURG, TN 37887
(423) 346-5566
(423) 346-5631
Mailing address
PO BOX 308, SUITE 500, WARTBURG, TN 37887-0308
(423) 346-5566
(423) 346-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000034058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I08324
MEDICARE
TN
01
—
3156190
BCBS
TN
05
—
3853052
—
TN
Enumeration date
02/09/2007
Last updated
03/07/2023
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