Individual provider · Type 1 NPI

Neil B. Thackar, DO

Diagnostic Radiology Physician · Winston Salem, NC

NPI number 1144845363 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Fax (336) 716-7432

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X11860 (GA)
Diagnostic Radiology Physician Primary 2085R0202X2025-01950 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1144845363

Neil B. Thackar, DO's National Provider Identifier is 1144845363, issued on Jun 12, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 5, 2025.