Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | J8146 | TX |
NPI | 1023070489 |
---|---|
Provider Name | Dr. Kunjan P Thakor |
First Address | Plano, TX 75093-6420 |
Second Address | Plano, TX 75093-6420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 20/01/2022 |