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Contact Information

SHANTANU K THAKUR, MD
13039 VICTORY BLVD
NORTH HOLLYWOOD, CA91606-2925
 Phone: 213-283-9202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2081P0301X 25 Physician/Physical Medicine and Rehabilitation
 

Hospice and Palliative Medicine

2081H0002X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SHANTANU K THAKUR · (Male)

NPI # 1831355569
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2008
Last updated 07/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 46236
  • CA License # A119550
  • OH License # 35.130014
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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