Organization Active NPI

Thakoor Deen MD PA

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1508118001
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0034039 Issued in FL
Legal business name
THAKOOR DEEN MD PA
Practice address
5686 Windhover Dr
Orlando, FL 32819-7935
Phone
(407) 352-1211
Fax
(407) 352-5807
NPI assigned
Oct 8, 2012
Last updated
Oct 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Thakoor Deen, MD
Title
Medical Doctor
Phone
(407) 352-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0034039 FL Primary

Addresses

Primary practice location

5686 Windhover Dr
Orlando, FL 32819-7935

Mailing address

5686 Windhover Dr
Orlando, FL 32819-7935
Phone (407) 352-1211

National Provider Directory

National Provider Directory

Locations

5686 Windhover Dr
Orlando, FL 32819
Phone (407) 352-1211

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1508118001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5686 WINDHOVER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197935",
            "telephone_number": "407-352-1211",
            "fax_number": "407-352-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5686 WINDHOVER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197935",
            "telephone_number": "407-352-1211",
            "fax_number": "407-352-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAKOOR DEEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "DEEN",
        "authorized_official_first_name": "THAKOOR",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "407-352-1211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0034039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.