Mr Suresh Chandra Prabhudas Thakker, MD | |
1420 Clark St, Cambridge, OH 43725-9617 | |
(740) 435-4020 | |
(404) 354-0297 |
Full Name | Mr Suresh Chandra Prabhudas Thakker |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1420 Clark St, Cambridge, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982717302 | NPI | - | NPPES |
0926207 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35064765-T (Ohio) | Primary |
Entity Name | Lorain County Health & Dentistry |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215194527 PECOS PAC ID: 9234047853 Enrollment ID: O20031105000774 |
Entity Name | The Metrohealth System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
Entity Name | Community Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538236872 PECOS PAC ID: 5496648123 Enrollment ID: O20040205000697 |
Entity Name | Muskingum Valley Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205018348 PECOS PAC ID: 4789760216 Enrollment ID: O20080618000216 |
Mailing Address | Practice Location Address |
---|---|
Mr Suresh Chandra Prabhudas Thakker, MD 1251 Clark St, Cambridge, OH 43725-9612 Ph: (740) 439-0733 | Mr Suresh Chandra Prabhudas Thakker, MD 1420 Clark St, Cambridge, OH 43725-9617 Ph: (740) 435-4020 |
Dr. Billimagga V Rangaswamy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1515 Maple Dr, Cambridge, OH 43725 Phone: 740-439-4260 | |
Dr. Shobha U Lall, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1432 Clark St, Suite 5, Cambridge, OH 43725 Phone: 740-439-6664 Fax: 740-439-8664 | |
Ms. Margarite Marie Angelopoulos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1330 Clark St, Cambridge, OH 43725 Phone: 407-891-9000 | |
Kaci L Cunningham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1330 Clark St, Cambridge, OH 43725 Phone: 740-891-9000 Fax: 740-891-9001 | |
Edna J Dycoco, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 64979 Old Twenty On Road, Cambridge, OH 43725 Phone: 740-432-6628 Fax: 740-432-5531 |