Provider Demographics
NPI:1790960714
Name:DINESH C. THEKDI, M.D., INC.
Entity Type:Organization
Organization Name:DINESH C. THEKDI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DINESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:THEKDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-447-1772
Mailing Address - Street 1:269 LELAR ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-2611
Mailing Address - Country:US
Mailing Address - Phone:419-447-1772
Mailing Address - Fax:
Practice Address - Street 1:269 LELAR ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-3427
Practice Address - Country:US
Practice Address - Phone:419-447-1772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH40575174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000130302OtherANTHEM
OHCM2026OtherMEDICARE RAILROAD
OH0354781Medicaid
OH000000130302OtherANTHEM
OH0354781Medicaid