Individual
MR. SURESH CHANDRA PRABHUDAS THAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 CLARK ST, CAMBRIDGE, OH 43725-9617
(740) 435-4020
(404) 354-0297
Mailing address
1251 CLARK ST, CAMBRIDGE, OH 43725-9612
(740) 439-0733
(740) 439-8996
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35064765-T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926207
—
OH
Enumeration date
08/17/2006
Last updated
11/27/2023
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