| Sanam Khand Thakuri, FNP | |
| 
					9705 Northeast Pkwy Ste 400, Matthews, NC 28105-9704  | |
| (704) 844-8971 | |
| Not Available | 
| Full Name | Sanam Khand Thakuri | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 9705 Northeast Pkwy Ste 400, Matthews, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548014384 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2024000311 (North Carolina) | Primary | 
| Entity Name | Polyclinic Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821059650 PECOS PAC ID: 3971569328 Enrollment ID: O20041207000812  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sanam Khand Thakuri, FNP 616 Landau Rd, Waxhaw, NC 28173-4579 Ph: (443) 714-0343  | Sanam Khand Thakuri, FNP 9705 Northeast Pkwy Ste 400, Matthews, NC 28105-9704 Ph: (704) 844-8971  | 
Leah Brianne Kingswood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 Matthews Township Pkwy Ste 350, Matthews, NC 28105 Phone: 704-841-8877  | |
Ms. Lora Solomon, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3046b Senna Dr, Matthews, NC 28105 Phone: 704-841-3886 Fax: 704-841-3889  | |
Olivia Hallingquest,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-846-7651  | |
Amy Kay Parris, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1450 Matthews Township Pkwy Ste 250, Matthews, NC 28105 Phone: 704-841-1444 Fax: 704-849-2520  | |
Lillian Sliwoski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9705 Northeast Pkwy Ste 400, Matthews, NC 28105 Phone: 704-884-8971  | |
Mrs. Heather Jean Mathew, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Matthews Township Pkwy Ste 110, Matthews, NC 28105 Phone: 704-264-3500 Fax: 704-417-4989  | |
Mrs. Gretchen Elaine Lawson, MSN, APRN, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1122 Sam Newell Rd Ste 114, Matthews, NC 28105 Phone: 980-430-3130 Fax: 980-245-3433  |