Individual
HARISH D THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 SE 2ND AVE, FT LAUDERDALE, FL 33316-1807
(954) 524-6527
(954) 527-3732
Mailing address
1905 N RIVERSIDE DR, POMPANO BEACH, FL 33062-1221
(954) 854-2951
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME23257
FL
208M00000X
Hospitalist Physician
Primary
ME23527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057676000
—
FL
Enumeration date
02/15/2006
Last updated
01/05/2024
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