Thakore, Hetal P

Thakore, Hetal P is an individual health care provider with primary practice located at 811 13Th Street Suite 10, Augusta GA 30901. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Thakore, Hetal P can be contacted via phone (706) 434-1590.

Contact Information

Primary practice address
811 13Th Street Suite 10 Augusta GA 30901
Phone: (706) 434-1590
Fax: (803) 279-6001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 053556 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 053556 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 053556 Georgia

Profile Details

NPI number 1821184540
LBN Legal business name Thakore, Hetal P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Sep 13th, 2013 - about 11 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 1821184540 NPPES
South Carolina MEDICAID G53556
South Carolina MEDICAID 442892357D
South Carolina Other 52058546-003

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