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SHANTANU KUMAR THAKUR M.D. NPI 1831355569


NPI Information

NPI: 1831355569
Provider Name: SHANTANU KUMAR THAKUR, M.D.
Classification: Physical Medicine & Rehabilitation - 2081P0301X
Entity Type: Individual

Specialization: Brain Injury Medicine

PECOS Registration: Yes

Address:
6442 COLDWATER CANYON AVE STE 117
NORTH HOLLYWOOD, CA
ZIP 91606
Phone: (213) 283-9202
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Shantanu Kumar Thakur, M.D. is a brain injury medicine physical medicine rehabilitation in North Hollywood, CA with 16 years of experience. The provider is a Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences. Shantanu Kumar Thakur, M.D. NPI is 1831355569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

6442 COLDWATER CANYON AVE STE 117
NORTH HOLLYWOOD, CA
ZIP 91606-184
Phone: (213) 283-9202

The NPI 1831355569 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 8/1/2008 and was last updated on 1/31/2023.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineA119550CALIFORNIANo
22081P0301XPhysical Medicine & RehabilitationBrain Injury MedicineA119550CALIFORNIAYes
3208100000XPhysical Medicine & RehabilitationA119550CALIFORNIANo
42081H0002XPhysical Medicine & RehabilitationHospice and Palliative MedicineA119550CALIFORNIANo
52081P0301XPhysical Medicine & RehabilitationBrain Injury Medicine35.130014OHIONo
62081P0301XPhysical Medicine & RehabilitationBrain Injury Medicine46236ARIZONANo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.