Provider Demographics
NPI:1437117868
Name:THAKAR, CHARUHAS V (MD)
Entity Type:Individual
Prefix:
First Name:CHARUHAS
Middle Name:V
Last Name:THAKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 PIEDMONT AVE
Mailing Address - Street 2:STE 6300
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-4231
Mailing Address - Country:US
Mailing Address - Phone:513-475-8524
Mailing Address - Fax:513-584-5571
Practice Address - Street 1:222 PIEDMONT AVE
Practice Address - Street 2:STE 6000
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4231
Practice Address - Country:US
Practice Address - Phone:513-558-0668
Practice Address - Fax:513-558-4309
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-078077207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64074883Medicaid
IN200469380Medicaid
OHP00278763OtherRAIL ROAD MEDICARE
OH2446624Medicaid
OHH045600Medicare PIN
OH2446624Medicaid
OHP00278763OtherRAIL ROAD MEDICARE