Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 53919 | WI |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD00043871 | WA |
NPI | 1164532123 |
---|---|
Provider Name | Dr. Monica S Thakar |
First Address | Seattle, WA 98109 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 26/07/2019 |