Individual
AJAY THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 CELEBRATION PL STE 300, CELEBRATION, FL 34747-5434
(407) 894-4474
Mailing address
410 CELEBRATION PL STE 300, CELEBRATION, FL 34747-5434
(407) 894-4474
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME85102
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME85102
FL
Other
Enumeration date
10/12/2005
Last updated
02/07/2023
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