Individual
DR. VINAYAK THAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14551 HOPE CENTER LOOP STE 100, FORT MYERS, FL 33912-4705
(239) 936-2316
(239) 936-3099
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 936-3099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT203710
PA
2085R0202X
Diagnostic Radiology Physician
22865
WI
2085R0202X
Diagnostic Radiology Physician
Primary
ME135034
FL
2085R0202X
Diagnostic Radiology Physician
MT203710
PA
2085R0204X
Vascular & Interventional Radiology Physician
ME135034
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/05/2013
Last updated
04/24/2025
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