Paresh K Thakkar MD LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

53603 Issued in MA

Legal business name

PARESH K THAKKAR MD LLC

Practice address

13 Wabanaki Way
Andover, MA 01810-5524

Phone

(978) 470-3592

Fax

(978) 470-3592

NPI assigned

Mar 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paresh K Thakkar, MD

Title

President

Phone

(978) 470-3592

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1255501136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WABANAKI WAY",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105524",
            "telephone_number": "978-470-3592",
            "fax_number": "978-470-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WABANAKI WAY",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105524",
            "telephone_number": "978-470-3592",
            "fax_number": "978-470-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARESH K THAKKAR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-470-3592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "53603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Ozirsky
• John Charles Pakstis, PH.D.
• Kristen Palmer, DPT
• Giana Palmerin, RN
• Ted Alen Pappas, L.AC.
• Jordan Nicole Parise
• Jennifer Sue Parkhurst, LCSW
• Carissa K Parrish, OTR
• Partners in Child Development, Inc
• Partners in Child Development, Inc

• General Practice Physician in Andover, MA
• Providers in Andover, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.