GAURAV THAKUR D.O. NPI 1184078248

NPI Information

NPI: 1184078248
Provider Name: GAURAV THAKUR, D.O.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
395 W 12TH AVE
THIRD FLOOR
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-3989
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Gaurav Thakur, D.O. is a student in an organized health care education training program in Columbus, OH with 7 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Gaurav Thakur, D.O. NPI is 1184078248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2017

The provider's business location address is:

395 W 12TH AVE
THIRD FLOOR
COLUMBUS, OH
ZIP 43210-267
Phone: (614) 293-3989

The NPI 1184078248 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2016 and was last updated on 6/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	18637	CALIFORNIA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	02006769A	INDIANA	No
3	2084N0400X	Psychiatry & Neurology	Neurology	25MB11500700	NEW JERSEY	No
4	2084N0400X	Psychiatry & Neurology	Neurology	71214	CONNECTICUT	No
5	2084N0400X	Psychiatry & Neurology	Neurology	2022-00966	NORTH CAROLINA	No
6	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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