National Provider Identifier
Jaimala Thanik, MD
Jaimala Thanik, MD is listed in the NPPES registry with a primary specialty of Pain Medicine Physician in Rochester, NY and a listed phone number of (585) 275-2141.
Profile Overview
- NPI
- 1619931896
- Provider Type
- Individual
- Primary Specialty
- Pain Medicine Physician
- Enumeration Date
- April 14, 2006
- Last Updated
- September 10, 2012
Practice Location
- 604 Elmwood Avenue
- Box 604
- Rochester, NY 14642-0001
Phone: (585) 275-2141
Specialties
- Pain Medicine Physician (208VP0000X)
Full Record
- NPI
- 1619931896
- Entity Type
- Individual
- Last Name
- Thanik
- First Name
- Jaimala
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 604 Elmwood Avenue
- Mailing Address Line 2
- Box 604
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-2141
- Mailing Fax
- (585) 244-7271
- Practice Street Address
- 604 Elmwood Avenue
- Practice Address Line 2
- Box 604
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2141
- Practice Fax
- (585) 244-7271
- Enumeration Date
- April 14, 2006
- Last Updated
- September 10, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pain Medicine Physician (208VP0000X)
- Other Identifiers
- 102222AH (NY, Preferred Care), 00362987 (NY), 010121860 (NY, Blue Choice)