Pushpa T. Thakarar, M.D.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

MD-018899-E Issued in PA

Practice address

902 Madison Dr
Malvern, PA 19355-3101

Phone

(610) 647-0591

Fax

(610) 647-2448

NPI assigned

Jul 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649291568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 MADISON DR",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553101",
            "telephone_number": "610-647-0591",
            "fax_number": "610-647-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 MADISON DR",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553101",
            "telephone_number": "610-647-0591",
            "fax_number": "610-647-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKARAR",
        "first_name": "PUSHPA",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "MD-018899-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06516660004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Tankel, M.S.ED., CAADC, LPC
• Rebecca Anne Tavangar
• Jennifer Taylor, PSY.D.
• Maura Tehrani Henderson, DPT
• Justin Teich, O.D.
• Elizabeth Ann Thayne, DPT
• The Devereux Foundation
• The Devereux Foundation
• The Devereux Foundation
• The Devereux Foundation

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Malvern, PA
• Providers in Malvern, PA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.