Dr. Darshan B Thakkar
Surgeon Vascular Surgeon
205 S Moon Ave Ste 102
Brandon
, Florida 33511-5716
Dr. Darshan B Thakkar
Surgeon Vascular Surgeon
205 S Moon Ave Ste 102
Brandon
, Florida 33511-5716
(813) 654-4486
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Darshan B Thakkar
- 205 S.moon Ave, Ste 102
- Brandon, FL
- Zip : 33511-5716
- Fax : (813) 654-4486
- Phone : (813) 681-4644
Second Address
- Dr. Darshan B Thakkar
- 205 S Moon Ave Ste 102
- Brandon, FL
- Zip : 33511-5716
- Fax : (813) 654-4486
- Phone : (813) 681-4644
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | ME96942 | FL |
| Y | 208600000X | Surgeon | ME96942 | FL |
| N | 2086S0129X | Vascular Surgeon | ME96942 | FL |
National Provider Identifier
| NPI | 1134205164 |
|---|---|
| Provider Name | Dr. Darshan B Thakkar |
| First Address | Brandon, FL 33511-5716 |
| Second Address | Brandon, FL 33511-5716 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 18/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12578 | UNIVERSAL (01) | |
| 208871 | AVMED (01) | |
| 276490300 | (05) | FL |
| 59050 | BLUECROSS/BLUESHIELD (01) | |
| 7569796 | AETNA (01) | |
| 8397192 | CIGNA HMO (01) | |
| AC649Z | (02) | |
| P00396697 | R.R.MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.