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Organization

DINESH C. THEKDI, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DINESH C. THEKDI M.D. (PRESIDENT)
(419) 447-1772
Entity
Organization

Contact information

Practice address
269 LELAR ST, TIFFIN, OH 44883-3427
(419) 447-1772
Mailing address
269 LELAR ST, TIFFIN, OH 44883-2611
(419) 447-1772

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40575
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000130302
ANTHEM
OH
05
0354781
OH
01
CM2026
MEDICARE RAILROAD
OH
Enumeration date
01/09/2008
Last updated
06/18/2010
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