Individual provider · Type 1 NPI

Maitraya D. Thaker, DPM

Foot & Ankle Surgery Podiatrist · Suwanee, GA

NPI number 1699724427 Active

Practice location

4385 Johns Creek Pkwy Ste 200
Suwanee, GA 30024-6094

Call (770) 349-9861 Map

Mailing address

1975 Highway 54 W Ste 205
Peachtree City, GA 30269-4794

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XN004044-1 (NY)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X000650 (GA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1699724427

Maitraya D. Thaker, DPM's National Provider Identifier is 1699724427, issued on May 9, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Suwanee, GA. The record was last updated on Jun 21, 2026.