NPI 1104920719

Gunvant K Thaker, MD

Practitioner Psychiatry Physician Hagerstown, MD

Practice location

Address: 13215 Brook Lane, Hagerstown, MD 21742-1514
Phone: (301) 733-0330
Fax: (301) 733-4038
Mailing address: 13121 Brooklane Dr, Hagerstown, MD 21742-1514

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence D0030062 (MD)

Other Psychiatry & Neurology providers in Maryland →

Registry record

NPI: 1104920719
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2006
Record last updated: 11 Oct 2016

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.