Individual
ANITA G. THADANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4515 SETON CENTER PKWY, #220, AUSTIN, TX 78759-5784
(512) 338-8388
(512) 338-8428
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G9815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129397904
—
TX
05
—
129397906
—
TX
Enumeration date
07/29/2006
Last updated
07/28/2010
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