Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTANU KUMAR THAKUR, M.D.
ActiveSHANTANU KUMAR THAKUR, M.D. is a Brain Injury Medicine healthcare provider located in NORTH HOLLYWOOD, California. NPI 1831355569 is currently active in the NPPES registry. Verify at CMS.
Brain Injury Medicine · NORTH HOLLYWOOD, CA
Registration Details
- NPI Number
- 1831355569
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2008 (17.853800973075 yrs)
- Last Updated
- Jul 29, 2024
- Licenses
-
A119550 (CA)A119550 (CA)46236 (AZ)35.130014 (OH)A119550 (CA)
Practice Information
- Address
-
13039 VICTORY BLVDNORTH HOLLYWOOD, CA, 916062925Browse CA providers · Browse ZIP 91606
- Phone
- 2132839202
- Primary Specialty
-
Brain Injury Medicine
2081P0301X
- Additional Specialty
- Hospice and Palliative Medicine (PM&R)
- Additional Specialty
- Brain Injury Medicine
- Additional Specialty
- Brain Injury Medicine
- Additional Specialty
- Pain Medicine (PM&R)
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.