Provider Demographics
NPI:1457516270
Name:THACHET, SIBIN M (MD)
Entity Type:Individual
Prefix:DR
First Name:SIBIN
Middle Name:M
Last Name:THACHET
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Gender:M
Credentials:MD
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Mailing Address - Street 1:320 ROBINSON AVE
Mailing Address - Street 2:ORANGE RADIOLOGY
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3353
Mailing Address - Country:US
Mailing Address - Phone:845-565-1254
Mailing Address - Fax:845-492-2118
Practice Address - Street 1:800 WASHINGTON STREET
Practice Address - Street 2:BOX# 299
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-0067
Practice Address - Fax:617-636-0041
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2017-05-05
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Provider Licenses
StateLicense IDTaxonomies
MA2376922085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology