Dr. Gunvant K Thaker, M.D.
Psychiatry & Neurology, Psychiatry in Hagerstown, MD. Individual provider (NPI-1).
NPI number1104920719
StatusActive
Last updated in NPPESOct 11, 2016
Details
- NPI
- 1104920719
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gunvant K Thaker
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Oct 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | D0030062 | MD | Yes |
Practice location
13215 Brook LaneHagerstown, MD 21742-1514
Phone 301-733-0330 · Fax 301-733-4038
Mailing address
13121 Brooklane DrHagerstown, MD 21742-1514
Phone 301-733-0330 · Fax 301-733-4038
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