Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 35 121563 | OH |
NPI | 1104052125 |
---|---|
Provider Name | Dr. Suruchi Shailesh Thakore |
First Address | West Chester, OH 45069-2509 |
Second Address | West Chester, OH 45069-2509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2009 |
Last Update Date | 03/05/2016 |