Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 35068212T | OH |
NPI | 1477550481 |
---|---|
Provider Name | Binod K Thakur |
First Address | Toledo, OH 43623-4231 |
Second Address | Toledo, OH 43623-4231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 25/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0206977 | (05) | OH |
G91890 | (02) |