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Gautam C Thakur, MD
Diagnostic Radiology Physician in Meadville, Pennsylvania
NPI 1578502167

Gautam C Thakur is a Diagnostic Radiology Physician based in Clearfield, PA and is specialized in Diagnostic Radiology. Gautam C Thakur practices in Meadville, PA and has the professional credentials of MD. The NPI Number for Gautam C Thakur is 1578502167 and holds a License No. MD061648L (Pennsylvania).

The current practice location address for Gautam C Thakur is 751 Liberty St, Meadville, PA and can be reached out via phone at 814-333-5144 and via fax at 814-373-2255.

Location: 751 Liberty St, Meadville, PA, 16830-5420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578502167
Provider Name
Gautam C Thakur
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
751 Liberty St, Meadville, PA, 16830-5420
Phone Number
814-333-5144
Fax Number
814-373-2255
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0016368510004 05 PA
institution
Provider Business Practice Location Address Details
Address
751 Liberty St
City
Meadville
State
Pennsylvania
Zip
16335-2559
Phone Number
814-333-5144
Fax Number
814-373-2255
person
Provider Business Mailing Address Details
Address
751 Liberty St
City
Meadville
State
Pennsylvania
Zip
16335-2559
Phone Number
814-333-5144
Fax Number
814-373-2255
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD061648L (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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