Individual provider · Type 1 NPI
Manisha Thakuria, MD
Clinical & Laboratory Dermatological Immunology Physician · Boston, MA
Practice location
221 Longwood Ave
Boston, MA 02115-5804
Mailing address
375 Boylston St
Brookline, MA 02445-6007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical & Laboratory Dermatological Immunology Physician Primary | 207NI0002X | 245821 (MA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301088143 (MI) |
Clinical & Laboratory Dermatological Immunology Physician: A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
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About NPI 1760504880
Manisha Thakuria, MD's National Provider Identifier is 1760504880, issued on Apr 6, 2007. The primary taxonomy on file is Clinical & Laboratory Dermatological Immunology Physician (207NI0002X), and the practice location is in Boston, MA. The record was last updated on Nov 21, 2019.