Individual provider · NPI-1
Sabal Thakur, Radiologic Tech
Radiologic Technologist · Bronx, NY
NPI number1053404111
StatusActive
Last updated in NPPESAug 1, 2008
Details
- NPI
- 1053404111
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sabal Thakur
- Credential
- Radiologic Tech
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Aug 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247100000X | Radiologic Technologist | 908534 | NY | Yes |
Practice location
1065 Southern BlvdBronx, NY 10459-2417
Phone 718-589-2440
Mailing address
50 Sweetfield CirYonkers, NY 10704-2650
Phone 914-954-7670
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