Provider Demographics
NPI:1649887514
Name:THAKKER & AMIN LLC
Entity type:Organization
Organization Name:THAKKER & AMIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARJUN
Authorized Official - Middle Name:R
Authorized Official - Last Name:THAKKER
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, EPIDEMIOLOGY
Authorized Official - Phone:732-266-3895
Mailing Address - Street 1:91 N YORK RD APT 400-09
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-2155
Mailing Address - Country:US
Mailing Address - Phone:732-266-3895
Mailing Address - Fax:
Practice Address - Street 1:91 N YORK RD APT 400-09
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-2155
Practice Address - Country:US
Practice Address - Phone:732-266-3895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities