Individual provider · Type 1 NPI
Nilay Bhasker Thaker, DO
Adult Medicine Physician · Martinsburg, WV
NPI number
1124275334
Active
Practice location
484 Williamsport Pike # 151
Martinsburg, WV 25404-5707
Mailing address
6030 Daybreak Circle, Suite A150 Pmb 263
Clarksville, MD 21029-1638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | OS022728 (PA) |
| Adult Medicine Physician | 207QA0505X | 3634 (WV) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1124275334
Nilay Bhasker Thaker, DO's National Provider Identifier is 1124275334, issued on Aug 20, 2008. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Martinsburg, WV. The record was last updated on Aug 22, 2024.