National Provider Identifier
Shivender K Thakur
Shivender K Thakur is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 442-6960.
Profile Overview
- NPI
- 1750323010
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 12, 2006
- Last Updated
- May 11, 2010
Practice Location
- 890 Westfall RD
- Suite B
- Rochester, NY 14618-2610
Phone: (585) 442-6960
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1750323010
- Entity Type
- Individual
- Last Name
- Thakur
- First Name
- Shivender
- Middle Name
- K
- Mailing Street Address
- 890 Westfall RD
- Mailing Address Line 2
- Suite B
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-2610
- Mailing Country
- US
- Mailing Phone
- (585) 442-6960
- Mailing Fax
- (585) 442-3548
- Practice Street Address
- 890 Westfall RD
- Practice Address Line 2
- Suite B
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-2610
- Practice Country
- US
- Practice Phone
- (585) 442-6960
- Practice Fax
- (585) 442-3548
- Enumeration Date
- June 12, 2006
- Last Updated
- May 11, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 00027284401 (NY, Univera #), 050906000002 (NY, Fidelis Care #), 192844-9W (NY, Workers Comp #), 0491669 (NY, Iha #), P010192844 (NY, Blue Choice #), 101474BJ (NY, Preferred Care #)