Organization
DR THAKER MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJ D THAKER MD (PHYSICIAN)
(209) 467-1001
Entity
Organization
Contact information
Practice address
415 E HARDING WAY, SUITE I, STOCKTON, CA 95204-6118
(209) 467-1001
(209) 467-1005
Mailing address
415 E HARDING WAY, SUITE I, STOCKTON, CA 95204-6118
(209) 467-1001
(209) 467-1005
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
C52146
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
C52147
CA
Other
Enumeration date
01/14/2011
Last updated
03/01/2011
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