Thakore, Gnan N
Thakore, Gnan N is an individual health care provider with primary practice located at 30 E Apple St Ste 5254A , Dayton OH 45409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Thakore, Gnan N can be contacted via phone (937) 208-4200.Contact Information
Primary practice address
30 E Apple St Ste 5254A
Dayton OH 45409
Phone: (937) 208-4200
Fax: (937) 208-4205
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 35067458 | Ohio |
Profile Details
NPI number | 1710979000 |
---|---|
LBN Legal business name | Thakore, Gnan N |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2005 |
Last updated | Dec 17th, 2018 - about 7 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 | 1710979000 | NPPES |
Ohio | Other | 000000012175 | ANTHEM BCBS |
Ohio | MEDICAID | 0987160 | ANTHEM BCBS |
Ohio | Other | 4820078 | ANTHEM BCBS |
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