Thakkar, Marta Viviana

Thakkar, Marta Viviana is an individual health care provider with primary practice located at 3070 N 51St St Ste P309, Milwaukee WI 53210-1645. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Thakkar, Marta Viviana can be contacted via phone (414) 447-2674.

Contact Information

Primary practice address
3070 N 51St St Ste P309 Milwaukee WI 53210-1645
Fax: (414) 447-2884
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 47942 Wisconsin

Profile Details

NPI number 1194783480
LBN Legal business name Thakkar, Marta Viviana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194783480 NPPES
Wisconsin MEDICAID 34651200

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