Individual
DR. USHAKANT THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 JONES WAY, SUITE 3, SIMI VALLEY, CA 93065-1203
(805) 584-0177
(805) 584-1179
Mailing address
PO BOX 940838, SIMI VALLEY, CA 93094-0838
(805) 433-7777
(805) 433-7607
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A35483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A354830
—
CA
Enumeration date
07/18/2005
Last updated
08/08/2007
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