National Provider Identifier

Manish Thakur, MD

Manish Thakur, MD is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Ithaca, NY and a listed phone number of (607) 274-4011.

NPI 1669034641Ithaca, NYHospitalist Physician

Profile Overview

NPI
1669034641
Provider Type
Individual
Primary Specialty
Hospitalist Physician
Enumeration Date
July 01, 2019
Last Updated
September 08, 2022

Practice Location

  • 101 Dates Dr
  • Ithaca, NY 14850-1383

Phone: (607) 274-4011

Mailing Address

  • 40 Village Cir Apt F
  • Ithaca, NY 14850-8598

Specialties

  • Hospitalist Physician (208M00000X)
Full Record
NPI
1669034641
Entity Type
Individual
Last Name
Thakur
First Name
Manish
Name Prefix
Dr.
Credential
MD
Mailing Street Address
40 Village Cir Apt F
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-8598
Mailing Country
US
Practice Street Address
101 Dates Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1383
Practice Country
US
Practice Phone
(607) 274-4011
Enumeration Date
July 01, 2019
Last Updated
September 08, 2022
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
September 08, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Hospitalist Physician (208M00000X)