Individual
NIMISH THAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1791 E HOLT BLVD UNIT 101, ONTARIO, CA 91761-2118
(909) 460-0354
(909) 460-0367
Mailing address
1791 E HOLT BLVD UNIT 101, ONTARIO, CA 91761-2118
(909) 460-0354
(909) 460-0367
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A747570
CA
208800000X
Urology Physician
Primary
A74757
CA
Other
Enumeration date
05/04/2006
Last updated
05/06/2024
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