NPI 1548595259

Prabin Thakuri, AA

Practitioner Anesthesiologist Assistant Lake Wales, FL

Practice location

Address: 410 S 11th St, Lake Wales, FL 33853-4203
Phone: (863) 676-1433
Mailing address: 8739 NW 38th St APT 228, Sunrise, FL 33351-1502

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA46 (FL)

Other Anesthesiologist Assistant providers in Florida →

Registry record

NPI: 1548595259
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2009
Record last updated: 14 Oct 2009

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.