Pradeep V Thakare, MD
Internal Medicine, Gastroenterology in Greenville, MS. Individual provider (NPI-1).
NPI number1346357092
StatusActive
Last updated in NPPESSep 26, 2007
Details
- NPI
- 1346357092
- Entity type
- Individual (NPI-1)
- Name
- Pradeep V Thakare
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Sep 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 08305 | MS | Yes |
Practice location
1502 S Colorado StGreenville, MS 38703-7219
Phone 662-332-9872
Mailing address
Po Box 23998Jackson, MS 39225-3998
Phone 662-725-2749 · Fax 662-725-2741
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