Individual
NICKLESH THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2800 L ST, SUITE 500, SACRAMENTO, CA 95816-5616
(916) 454-6850
(916) 454-6852
Mailing address
10470 OLD PLACERVILLE RD, #100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20A9158
CA
2084N0400X
Neurology Physician
20A9158
CA
Other
Enumeration date
04/02/2007
Last updated
05/14/2015
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