Provider Demographics
NPI:1518160241
Name:THAKKAR, SNEHAL GOVIND (MD)
Entity Type:Individual
Prefix:DR
First Name:SNEHAL
Middle Name:GOVIND
Last Name:THAKKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 HUNT DR.
Mailing Address - Street 2:SUITE I
Mailing Address - City:SHOW LOW
Mailing Address - State:AZ
Mailing Address - Zip Code:85901
Mailing Address - Country:US
Mailing Address - Phone:928-537-6937
Mailing Address - Fax:928-537-3977
Practice Address - Street 1:2500 HUNT DRIVE
Practice Address - Street 2:SUITE I
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901
Practice Address - Country:US
Practice Address - Phone:928-537-6937
Practice Address - Fax:928-537-3977
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.081820207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology