Individual
BHANUSHANKER A THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 SPRING ST, JEFFERSONVILLE, IN 47130
(812) 288-6660
(812) 283-5975
Mailing address
32W RELIABLE PKWY, CHICAGO, IN 60686-0032
(812) 949-0845
(812) 949-1883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028342
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100365820A
—
IN
Enumeration date
07/19/2006
Last updated
09/20/2013
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