Individual
DR. NIRANJANA SHAH THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
88 CENTER RD, SUITE 250B, BEDFORD, OH 44146-2700
(440) 439-9797
(440) 439-9775
Mailing address
88 CENTER RD, SUITE 250B, BEDFORD, OH 44146-2700
(440) 439-9797
(440) 439-9775
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35041778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000121950
UNICARE
OH
05
—
0365993
—
OH
01
—
353365
WEWLLCARE OF OHIO INC
OH
01
—
R41778
SUMMACARE
OH
Enumeration date
01/20/2006
Last updated
05/17/2008
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