Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | P68665 | NY |
NPI | 1326289745 |
---|---|
Provider Name | Dr. Raman Raj Thakur |
First Address | New York, NY 10075-1851 |
Second Address | New York, NY 10075-1851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2009 |
Last Update Date | 13/03/2009 |