Thakore, Killol J

Thakore, Killol J is an individual health care provider with primary practice located at 3700 Washington Ave , Evansville IN 47750-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Thakore, Killol J can be contacted via phone (812) 485-4415.

Contact Information

Primary practice address
3700 Washington Ave Evansville IN 47750-0001
Phone: (812) 485-4415
Fax: (812) 471-6650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 01045252A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01045252A Indiana

Profile Details

NPI number 1760477921
LBN Legal business name Thakore, Killol J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Dec 13th, 2016 - about 8 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 1760477921 NPPES
Indiana MEDICAID 200099310

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