Organization
SHILPA B THAKER MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN LABRECQUE (ACCOUNTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
3150 N TENAYA WAY, SUITE 225, LAS VEGAS, NV 89128-0443
(702) 558-2111
(702) 558-8333
Mailing address
3324 CANOE COVE CT, LAS VEGAS, NV 89117-6713
(702) 303-2076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13297
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13297
NEVADA LIC
NV
Enumeration date
04/02/2010
Last updated
11/03/2011
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