Provider Demographics
NPI:1487672648
Name:THAKUR, HEMANT KRISHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMANT
Middle Name:KRISHNA
Last Name:THAKUR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13706 W 75TH PL
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66216-4229
Mailing Address - Country:US
Mailing Address - Phone:913-631-4790
Mailing Address - Fax:913-725-9324
Practice Address - Street 1:4801 LINWOOD BOULEVARD
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128
Practice Address - Country:US
Practice Address - Phone:816-922-2647
Practice Address - Fax:816-922-3346
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO23030 KANSAS2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS23030OtherLICENSE NUMBER