Individual
MANISHA J THAKKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
604 W WARNER RD, C-1, CHANDLER, AZ 85225-2906
(480) 427-2630
(480) 427-2623
Mailing address
604 W WARNER RD, C-1, CHANDLER, AZ 85225-2906
(480) 427-2630
(480) 427-2623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35000
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104997
—
AZ
Enumeration date
07/26/2006
Last updated
05/15/2013
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