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Contact Information

HARISH D THAKER, MD
1211 SE 2ND AVE
FORT LAUDERDALE, FL33316-1807
 Phone: 954-524-6527
 Fax: 954-527-3732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for HARISH D THAKER · (Male)

NPI Number 1912971086
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 01/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME23257
  • FL License # ME23527
  • FL Medicaid 057676000
Hospital affiliation(s)
  • BROWARD HEALTH IMPERIAL POINT - (Acute Care)
    6401 N FEDERAL HWY
    FORT LAUDERDALE, FL 33308
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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