Individual
MIHIR THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C10007736
DE
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
C10007736
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076317
—
NJ
05
—
101494561
—
PA
05
—
4086201
—
MD
Enumeration date
09/29/2006
Last updated
09/03/2011
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