Thakkar, Sandeep K

Thakkar, Sandeep K is an sole proprietor health care provider with primary practice located at 520 Superior Ave Ste 205 , Newport Beach CA 92663-3667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Thakkar, Sandeep K can be contacted via phone (949) 764-7363.

Contact Information

Primary practice address
520 Superior Ave Ste 205 Newport Beach CA 92663-3667
Phone: (949) 764-7363
Fax: (949) 650-4585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 20A10840 California

Profile Details

NPI number 1740454586
LBN Legal business name Thakkar, Sandeep K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2008
Last updated Nov 22nd, 2023 - about last year

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 1740454586 NPPES
California MEDICAID 20A108400

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