Provider Demographics
NPI:1477822799
Name:THAKUR HAMEER, PARIKSHIT (MD, FASN, FNKF)
Entity Type:Individual
Prefix:DR
First Name:PARIKSHIT
Middle Name:
Last Name:THAKUR HAMEER
Suffix:
Gender:M
Credentials:MD, FASN, FNKF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:739 THIMBLE SHOALS BLVD STE 801
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3585
Practice Address - Country:US
Practice Address - Phone:757-873-1009
Practice Address - Fax:757-873-7689
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-14509207RN0300X
OH35.126157207RN0300X
VA0101276636207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0135715Medicaid