Individual
UPENDRA N THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 OLD GATESBURG RD, STE 100, STATE COLLEGE, PA 16803-2276
(814) 237-3360
(814) 237-2130
Mailing address
1700 OLD GATESBURG RD, STE 100, STATE COLLEGE, PA 16803-2276
(814) 237-3360
(814) 237-2130
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD049863L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD049863L
PA
Other
Enumeration date
08/11/2005
Last updated
01/31/2024
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