Provider Demographics
NPI:1831642941
Name:THAKOR, SAHEEN (MD)
Entity Type:Individual
Prefix:
First Name:SAHEEN
Middle Name:
Last Name:THAKOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 EMPIRE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-1934
Mailing Address - Country:US
Mailing Address - Phone:585-787-0720
Mailing Address - Fax:585-254-0549
Practice Address - Street 1:1900 EMPIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-1934
Practice Address - Country:US
Practice Address - Phone:585-787-0720
Practice Address - Fax:585-254-0549
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300636207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine