Organization
SHANTANU THAKUR, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTANU KUMAR THAKUR MD (CEO)
(213) 283-9202
Entity
Organization
Contact information
Practice address
13039 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2925
(213) 283-9202
(213) 260-2306
Mailing address
440 N BARRANCA AVE STE 9202, COVINA, CA 91723-1722
(213) 283-9202
(213) 260-2306
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/04/2019
Last updated
07/29/2024
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