Provider Demographics
NPI:1659042992
Name:THAKKAR, CHIRAG
Entity Type:Individual
Prefix:
First Name:CHIRAG
Middle Name:
Last Name:THAKKAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 BRITTON PKWY
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1966
Mailing Address - Country:US
Mailing Address - Phone:614-921-8260
Mailing Address - Fax:614-921-8285
Practice Address - Street 1:4001 BRITTON PKWY
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1966
Practice Address - Country:US
Practice Address - Phone:614-921-8260
Practice Address - Fax:614-921-8285
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03236685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist