Thakarar, Pushpa T.
Thakarar, Pushpa T. is an sole proprietor health care provider with primary practice located at 902 Madison Dr , Malvern PA 19355-3101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Thakarar, Pushpa T. can be contacted via phone (610) 647-0591.Contact Information
Primary practice address
902 Madison Dr
Malvern PA 19355-3101
Phone: (610) 647-0591
Fax: (610) 647-2448
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | MD-018899-E | Pennsylvania |
Profile Details
NPI number | 1649291568 |
---|---|
LBN Legal business name | Thakarar, Pushpa T. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649291568 | NPPES |
Pennsylvania | MEDICAID | 06516660004 |
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