Individual provider Active NPI

Anil Chandra Thakuria

  • Internal Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1902014988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.048186 Issued in OH
Practice address
2900 Charlevoix Dr SE
Ste 200 , Comphealth, Prospective Employer
Grand Rapids, MI 49546-7085
Phone
(616) 975-5000
Fax
(616) 975-5030
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.048186 OH Primary

Addresses

Primary practice location

2900 Charlevoix Dr SE
Ste 200 , Comphealth, Prospective Employer
Grand Rapids, MI 49546-7085

Mailing address

8195 Sanctuary Dr
Columbus, OH 43235-4638
Phone (614) 848-9425

Other names 1

  • Anil Chandra Thakuriah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35.048186OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902014988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 SANCTUARY DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354638",
            "telephone_number": "614-848-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHARLEVOIX DR SE",
            "address_2": "STE 200 , COMPHEALTH, PROSPECTIVE EMPLOYER",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467085",
            "telephone_number": "616-975-5000",
            "fax_number": "616-975-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKURIA",
        "first_name": "ANIL",
        "middle_name": "CHANDRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.048186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANIL",
            "last_name": "THAKURIAH",
            "middle_name": "CHANDRA",
            "credential": "MD(MBBS)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • 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.