Individual
SHANTANU KUMAR THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13039 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2925
(213) 283-9202
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
A119550
CA
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
A119550
CA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
35.130014
OH
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
46236
AZ
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A119550
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A119550
CA
Other
Enumeration date
08/01/2008
Last updated
07/29/2024
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