Dr Thaker MD, a Professional Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C52147 Issued in CA

Legal business name

DR THAKER MD, A PROFESSIONAL CORPORATION

Practice address

415 E Harding Way
Suite I
Stockton, CA 95204-6118

Phone

(209) 467-1001

Fax

(209) 467-1005

NPI assigned

Jan 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Pankaj D Thaker, MD

Title

Physician

Phone

(209) 467-1001

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1790080281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARDING WAY",
            "address_2": "SUITE I",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046118",
            "telephone_number": "209-467-1001",
            "fax_number": "209-467-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HARDING WAY",
            "address_2": "SUITE I",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046118",
            "telephone_number": "209-467-1001",
            "fax_number": "209-467-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THAKER MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "THAKER",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "209-467-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C52146",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C52147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.