Provider Demographics
NPI:1740508415
Name:THAKUR, AKANKSHA
Entity type:Individual
Prefix:
First Name:AKANKSHA
Middle Name:
Last Name:THAKUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 TULANE AVE #8055
Mailing Address - Street 2:TULANE UNIVERSITY SCHOOL OF MEDICINE, CHILD PSYCHIATRY
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1430 TULANE AVE #8055
Practice Address - Street 2:TULANE UNIVERSITY SCHOOL OF MEDICINE, CHILD PSYCHIATRY
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-0001
Practice Address - Country:US
Practice Address - Phone:504-988-5405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2069802084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry