Provider Demographics
NPI:1891323978
Name:THAKKAR, RICHA MEHTA (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHA
Middle Name:MEHTA
Last Name:THAKKAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BRIGHTLING LN
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-5627
Mailing Address - Country:US
Mailing Address - Phone:678-602-5132
Mailing Address - Fax:
Practice Address - Street 1:11 BRIGHTLING LN
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-5627
Practice Address - Country:US
Practice Address - Phone:678-602-5132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program