Individual
NISHA THAKRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
409 W BROADWAY, SOUTH BOSTON, MA 02127-2245
(617) 269-7500
(617) 464-7512
Mailing address
409 W BROADWAY, SOUTH BOSTON, MA 02127-2245
(617) 269-7500
(617) 464-7512
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
218960
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027659
BMC HEALTHNET
MA
01
—
0032345
NEIGHBORHOOD HEALTH PLAN
MA
01
—
325375
TUFTS HEALTH PLAN
MA
01
—
6915000
CIGNA
MA
01
—
AA9809
HARVARD PILGRIM
MD
01
—
J27243
BLUE CROSS
MA
Enumeration date
02/13/2006
Last updated
11/01/2011
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