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SANDEEP K. THAKKAR D.O. NPI 1578900809


NPI Information

NPI: 1578900809
Provider Name: SANDEEP K. THAKKAR, D.O.
Classification: Psychiatry & Neurology - 2084N0008X
Entity Type: Organization

Specialization: Neuromuscular Medicine

Address:
510 SUPERIOR AVE
STE. 200A
NEWPORT BEACH, CA
ZIP 92663
Phone: (562) 233-9109
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SANDEEP K. THAKKAR, D.O. is a neuromuscular medicine psychiatry neurology in Newport Beach, CA. The provider is a neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). SANDEEP K. THAKKAR, D.O. NPI is 1578900809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

510 SUPERIOR AVE
STE. 200A
NEWPORT BEACH, CA
ZIP 92663-663
Phone: (562) 233-9109
Fax: (949) 650-4585

The provider's authorized official is Sandeep K Thakkar .
The authorized official title is Owner and has the following contact phone number (562) 233-9109.

The enumeration date for this NPI number is 5/28/2013 and was last updated on 5/28/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0008XPsychiatry & NeurologyNeuromuscular Medicine20A10840CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120A10840OTHERCALIFORNIAPTAN GX448A

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

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