Basic Information
| Provider Information | |||||||||
| NPI: | 1518238831 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THAKKAR ANESTHESIA ASSOCIATES PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3581 S HIGHLANDS AVE | ||||||||
| Address2: | |||||||||
| City: | SEBRING | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338705410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8633855129 | ||||||||
| FaxNumber: | 8633857162 | ||||||||
| Practice Location | |||||||||
| Address1: | 3581 S HIGHLANDS AVE | ||||||||
| Address2: | |||||||||
| City: | SEBRING | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338705410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8633855129 | ||||||||
| FaxNumber: | 8633857162 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2012 | ||||||||
| LastUpdateDate: | 02/03/2012 | ||||||||
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| AuthorizedOfficialLastName: | THAKIKAR | ||||||||
| AuthorizedOfficialFirstName: | TARLIKA | ||||||||
| AuthorizedOfficialMiddleName: | V | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/SOLE PROPRIETOR | ||||||||
| AuthorizedOfficialTelephone: | 8633855129 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | ME37437 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.