NPI 1013226802

Rupa Thacker, MD

Practitioner Pediatrics Physician Detroit, MI

Practice location

Address: 3901 Beaubien St, Detroit, MI 48201-2119
Phone: (313) 745-5533
Mailing address: 4500 Cass Avenue, Apartment # 1121, Detroit, MI 48201

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 4301096912 (MI)

Other Pediatrics providers in Michigan →

Registry record

NPI: 1013226802
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2010
Record last updated: 16 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.