Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | Q0708 | TX |
NPI | 1013262286 |
---|---|
Provider Name | Dr. Nivedita Thakur |
First Address | Houston, TX 77030-3000 |
Second Address | Houston, TX 77030-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2012 |
Last Update Date | 09/01/2017 |