| Thakur MD PA | |
|
5300 W Hillsboro Blvd Ste 101a Coconut Creek FL 33073-4395 | |
| (561) 703-7022 | |
| (954) 346-7632 |
| Full Name | Thakur MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 5300 W Hillsboro Blvd Ste 101a, Coconut Creek, Florida |
| Authorized Official Name and Position | Chhatrapal S Thakur (OWNER) |
| Authorized Official Contact | 5617037022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thakur MD PA 5645 Coral Ridge Dr Ste 411 Coral Springs FL 33076-3124 Ph: (561) 703-7022 | Thakur MD PA 5300 W Hillsboro Blvd Ste 101a Coconut Creek FL 33073-4395 Ph: (561) 703-7022 |
| NPI Number | 1891260857 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 01/28/2026 |
| Certification Date | 01/28/2026 |
| Medicare PECOS PAC ID | 3375876329 |
|---|---|
| Medicare Enrollment ID | O20190606002886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891260857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Chhatrapal S Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871578088 PECOS PAC ID: 9739167800 Enrollment ID: I20040713001567 |
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