Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 9500248 | NC |
NPI | 1417991076 |
---|---|
Provider Name | Bharatkumar N Thakkar |
First Address | Fayetteville, NC 28301-3856 |
Second Address | Fayetteville, NC 28301-3856 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 01/05/2013 |