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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MRUDANGI THAKUR, M.D

Active Sole Proprietor

DR. MRUDANGI THAKUR, M.D is a Plastic Surgery healthcare provider located in JEFFERSON VALLEY, New York. NPI 1649381302 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · JEFFERSON VALLEY, NY

Registration Details

NPI Number
1649381302
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2006 (19.984750657507 yrs)
Last Updated
Jan 19, 2020
License
210957 (NY)
Sole Proprietor
Yes

Practice Information

Address
3650 HILL BLVD
JEFFERSON VALLEY, NY, 105351500
Browse NY providers · Browse ZIP 10535
Phone
9149628888
Fax
9149628881
Primary Specialty
Plastic Surgery
208200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.