Provider Demographics
NPI:1861493256
Name:THAKOR, DENNIS SUNIL (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:SUNIL
Last Name:THAKOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10090 E SHANNON WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-4107
Mailing Address - Country:US
Mailing Address - Phone:316-684-2838
Mailing Address - Fax:316-684-3326
Practice Address - Street 1:10090 E SHANNON WOODS CIR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-4107
Practice Address - Country:US
Practice Address - Phone:316-684-2838
Practice Address - Fax:316-684-3326
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS21838207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS101371OtherWAL-MART
040010877OtherUNITED HEALTH CARE
KS200814OtherHEALTH PARTNERS OF KS
4083538OtherAETNA
KS100206640BOtherFIRST GUARD
KS1173OtherPREFERRED PLUS OF KS
040010877OtherMEDICARE RAILROAD
KS101371OtherBLUECROSS/BLUESHIELD
KS1173OtherPREFERRED HEALTH SYSTEMS
KS100206640BMedicaid
3152002006OtherCIGNA